Sanders, Holli Anne

Sanders, Holli Anne is an individual health care provider with primary practice located at 4381 South Eason Blvd. Suite 102B, Tupelo MS 38801-6586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sanders, Holli Anne can be contacted via phone (662) 377-6610.

Contact Information

Primary practice address
4381 South Eason Blvd. Suite 102B Tupelo MS 38801-6586
Phone: (662) 377-6610
Fax: (662) 377-6614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R770552 Mississippi

Profile Details

NPI number 1225008576
LBN Legal business name Sanders, Holli Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 7th, 2009 - about 17 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 1225008576 NPPES
Mississippi MEDICAID 02930813

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