Vanderhyde, Holly

Vanderhyde, Holly is an sole proprietor health care provider with primary practice located at 12364 Perris Blvd , Moreno Valley CA 92557-7423. 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. Vanderhyde, Holly can be contacted via phone (605) 209-6421.

Contact Information

Primary practice address
12364 Perris Blvd Moreno Valley CA 92557-7423
Phone: (605) 209-6421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95011532 California

Profile Details

NPI number 1033773379
LBN Legal business name Vanderhyde, Holly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2019
Last updated Sep 25th, 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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