Holland, Carol Edwards

Holland, Carol Edwards is an individual health care provider with primary practice located at 400 Military Heights Pl , Roswell NM 88201-6407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holland, Carol Edwards can be contacted via phone (575) 627-9500.

Contact Information

Primary practice address
400 Military Heights Pl Roswell NM 88201-6407
Phone: (575) 627-9500
Fax: (575) 627-9535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP00402 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R23239 New Mexico

Profile Details

NPI number 1962478412
LBN Legal business name Holland, Carol Edwards
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962478412 NPPES
New Mexico Other 74-2823514 GROUP TAX ID
New Mexico MEDICAID 65000579 GROUP TAX ID
New Mexico Other 800521089 GROUP TAX ID
New Mexico Other 1932187044 GROUP TAX ID

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