Holland, Edris Y

Holland, Edris Y is an sole proprietor health care provider with primary practice located at 520 W Palmdale Blvd , Palmdale CA 93551-4229. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holland, Edris Y can be contacted via phone (661) 947-3300.

Contact Information

Primary practice address
520 W Palmdale Blvd Palmdale CA 93551-4229
Phone: (661) 947-3300
Fax: (661) 947-3322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 374283 California
Nursing Service Providers / Community Health 163WC1500X 374283 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95017058 California

Profile Details

NPI number 1154929495
LBN Legal business name Holland, Edris Y
Credentials RN MSN FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2020
Last updated Apr 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154929495 NPPES
California Other 95017058 FNP-C LICENSE NUMBER

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