Doctor Name: | LAURA ANN HOLLYWOOD |
NPI Number: | 1568803286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM, FNP, WHCP, ARNP |
License Number: | F335124-1 |
Business Practice Address: | 4250 Hatton Rogers Ln North Fort Myers, FL - 339037813 |
Business Phone Number: | 2396560221 |
Business Fax Number: | |
Mailing Address: | 2024 Sw 44th Ter, CAPE CORAL |
State: | FL |
Postal Code: | 339146207 |
Phone Number: | 8455976051 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F335124-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |