Bohannan, Holly
Bohannan, Holly is an individual health care provider with primary practice located at 3000 Medical Center Parkway , Bentonville AR 72712. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bohannan, Holly can be contacted via phone (479) 530-6649.Contact Information
Primary practice address
3000 Medical Center Parkway
Bentonville AR 72712
Phone: (479) 530-6649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R65511 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C02604 CRNA | Arkansas |
Profile Details
| NPI number | 1326097890 |
|---|---|
| LBN Legal business name | Bohannan, Holly |
| Credentials | CRNA MSNA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 16th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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