MRS. CATHERINE BLACKWELL HOLLAND


Address: 14151 Glen Ellis Rd, Walker, LA 70785-6411
Phone: 2256649968

MRS. CATHERINE BLACKWELL HOLLAND (NPI# 1508017120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508017120
Entity Type Individual
Full Name MRS. CATHERINE BLACKWELL HOLLAND
Other Name DR. CATHERINE BLACKWELL HOLLAND
Credential ADULT NURSE PRACTITI
Practice Address 14151 Glen Ellis Rd
Walker
LA 70785-6411
Practice Telephone 2256649968
Mailing Telephone 2256649968
Enumeration Date 2008-10-01
Last Update Date 2008-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2608 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA PRESCRIPTIVE AUTHORITY 010086 01
LA ADVANCED PRACTICE 2608 01

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Office Location

Street Address 14151 GLEN ELLIS RD
City WALKER
State LA
Zip Code 70785-6411

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City WALKER
Zip Code 70785

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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