Holland, Lorretta R

Holland, Lorretta R is an individual health care provider with primary practice located at 300 Medical Parkway Suite 314, Chesapeake VA 23320-4985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Holland, Lorretta R can be contacted via phone (757) 549-4403.

Contact Information

Primary practice address
300 Medical Parkway Suite 314 Chesapeake VA 23320-4985
Phone: (757) 549-4403
Fax: (757) 549-4332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024128931 Virginia

Profile Details

NPI number 1609871110
LBN Legal business name Holland, Lorretta R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 3rd, 2009 - about 16 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 1609871110 NPPES
Virginia MEDICAID 007792476
Virginia MEDICAID 1609871110
Virginia Other 1002186N

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