Doctor Name: | PATRICIA R HOLLAND |
NPI Number: | 1003830878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 466366 |
Business Practice Address: | 1000 Vale Terrace Dr Vista, CA - 920845218 |
Business Phone Number: | 7606315000 |
Business Fax Number: | 7604143713 |
Mailing Address: | 1000 Vale Terrace Dr, VISTA |
State: | CA |
Postal Code: | 920845218 |
Phone Number: | 7606315000 |
Fax Number: | 7604143713 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 466366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |