CAMILLA EARLENE HOLLEN


Address: 1057 Martinsburg Pike, Winchester, VA 22603-5409
Phone: 5406653299

CAMILLA EARLENE HOLLEN (NPI# 1871742825) 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) 1871742825
Entity Type Individual
Full Name CAMILLA EARLENE HOLLEN
Credential MMS, PA-C
Practice Address 1057 Martinsburg Pike
Winchester
VA 22603-5409
Mailing Address 1775 N Sector Ct
Winchester
VA 22601-2859
Practice Telephone 5406653299
Mailing Telephone 5405426208
Mailing Fax Number 5405426210
Enumeration Date 2008-09-15
Last Update Date 2016-07-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110002830 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1871742825 05
RAILROAD MEDICARE P00765854 01

Office Location

Street Address 1057 MARTINSBURG PIKE
City WINCHESTER
State VA
Zip Code 22603-5409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255842506 Valley Physician Enterprise, Inc Family Medicine 160 Merchant Street, Ste 100, Winchester, VA 22603 2017-10-13
1104349489 Valley Health Surgery Center, LLC Clinic/Center 174 Botanical Boulevard, Winchester, VA 22603 2017-07-19
1386989689 Medexpress Urgent Care, PC - Virginia Emergency Medicine 207 Gateway Drive, Winchester, VA 22603 2012-11-28
1225119563 Giant Food Stores, LLC Pharmacy 200 Rivendell Court, Winchester, VA 22603 2006-10-17
1437266764 Krista Lynn Bednarski-gibbs Social Worker 110 Lauck Drive, Winchester, VA 22603 2006-08-24
1497787410 Giant Food Stores LLC Pharmacy 400 Gateway Drive, Winchester, VA 22603 2006-07-07
1811952898 Mark William Doering Obstetrics & Gynecology 874 Fox Dr, Winchester, VA 22603 2006-04-20
1710332473 Emily Carder Occupational Therapy Assistant 110 Lauck Drive, Winchester, VA 22603 2016-05-02
1205255528 Jordan Hayward Talley Anesthesiology 878 Fox Dr, Winchester, VA 22603 2014-04-15
1316263288 Susan Shawn Jones Nurse Anesthetist, Certified Registered 878 Fox Drive, Winchester, VA 22603 2010-04-16
Find all providers in zip 22603

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013111566 Peter Michael Barnett Physician Assistant 1033 Mountain Falls Rd, Winchester, VA 22602-3345 2007-06-11
1356454029 Jennifer Leocadia Conlon Physician Assistant 301 N Cameron St Ste 100, Winchester, VA 22601 2006-08-16
1780644906 Lloyd David Moore Physician Assistant 170 Pedro Way, Winchester, KY 40391-8354 2006-03-23
1649259102 Kristen L Renzi Physician Assistant 190 Campus Blvd Ste 201, Winchester, VA 22601 2006-01-12
1841834082 Pamela Audrey Brozozog Lee Physician Assistant 607 E Jubal Early Dr, Winchester, VA 22601-5178 2019-10-31
1104382381 Adriana Posadas Physician Assistant 1330 Amherst St, Winchester, VA 22601-3054 2019-02-13
1265919526 Khalila A Guzman Physician Assistant 1818 Amherst St, Winchester, VA 22601-2808 2018-07-19
1043719461 Kaitlyn Garnett Physician Assistant 1440 Amherst St, Winchester, VA 22601-3010 2018-02-12
1235585001 Kelsey Purcell Physician Assistant 185 Hospital Rd, Winchester, TN 37398-2404 2016-05-10
1770942278 Kristen Hammett Physician Assistant 1812 W Plaza Dr, Winchester, VA 22601-6365 2016-02-12
Find all providers in WINCHESTER

Competitor

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City WINCHESTER
Zip Code 22603

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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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