Fyda, Holly Diane
Fyda, Holly Diane is an sole proprietor health care provider with primary practice located at 2159 Castle Rock Cir , Corona CA 92878-5465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fyda, Holly Diane can be contacted via phone (951) 285-5571.Contact Information
Primary practice address
2159 Castle Rock Cir
Corona CA 92878-5465
Phone: (951) 285-5571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP95011339 | California |
Profile Details
| NPI number | 1750844304 |
|---|---|
| LBN Legal business name | Fyda, Holly Diane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2019 |
| Last updated | Oct 15th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750844304 | NPPES |
| California | Other | NP95011339 | BRN |
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