Todd, Holly L

Todd, Holly L is an individual health care provider with primary practice located at 635 East Baseline Road , Phoenix AZ 85042-6551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Todd, Holly L can be contacted via phone (602) 243-7277.

Contact Information

Primary practice address
635 East Baseline Road Phoenix AZ 85042-6551
Phone: (602) 243-7277
Fax: (602) 243-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP0241 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN075083 Arizona

Profile Details

NPI number 1427034909
LBN Legal business name Todd, Holly L
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 29th, 2011 - about 13 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 1427034909 NPPES
Arizona MEDICAID 753774

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