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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002830 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1871742825 | 05 | |
RAILROAD MEDICARE | P00765854 | 01 |
Street Address |
1057 MARTINSBURG PIKE |
City | WINCHESTER |
State | VA |
Zip Code | 22603-5409 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
City | WINCHESTER |
Zip Code | 22603 |
Please comment or provide details below to improve the information on CAMILLA EARLENE HOLLEN.
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.