Holland, Sue Ann

Holland, Sue Ann is an sole proprietor health care provider with primary practice located at 3806 109Th St , Lubbock TX 79423-0885. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Holland, Sue Ann can be contacted via phone (806) 798-2503.

Contact Information

Primary practice address
3806 109Th St Lubbock TX 79423-0885
Phone: (806) 798-2503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R465479 Texas

Profile Details

NPI number 1609839885
LBN Legal business name Holland, Sue Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Apr 18th, 2012 - about 12 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 1609839885 NPPES
Texas MEDICAID 006925401

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