Dr Renae Holland, MD - Pediatrics in Provo, UT

Dr Renae Holland, MD is a Pediatrics physician based in Provo, Utah. Dr Renae Holland is licensed to practice in Utah (license number 1790421205) and her current practice location is 1300 E Center St, Utah State Hospital, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 344-4311.

NPI number for Dr Renae Holland is 1003852765 and her current mailing address is Po Box 270, Provo, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003852765.

Contact Information

Dr Renae Holland, MD
1300 E Center St, Utah State Hospital,
Provo, UT 84606-3554
(801) 344-4311
(801) 344-4225

Map and Direction




Physician's Profile

Full NameDr Renae Holland
GenderFemale
SpecialityPediatrics
Location1300 E Center St, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003852765
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 08/12/2024

Medical Identifiers

Medical identifiers for Dr Renae Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003852765NPI-NPPES
09352MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1790421205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Renae Holland is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Renae Holland, MD
Po Box 270,
Provo, UT 84606-0270

Ph: (801) 344-4311
Dr Renae Holland, MD
1300 E Center St, Utah State Hospital,
Provo, UT 84606-3554

Ph: (801) 344-4311

Reviews and Comments


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