Mark S Holland, is a
Nurse Anesthetist, Certified Registered based in Hickam, Hawaii. Mark S Holland is licensed to practice in Colorado (license number 11438) and his current practice location is
25 E Street Ste D1, Hickam, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 448-3405.
NPI number for Mark S Holland is 1194795526 and his current mailing address is 3505 Command Dr, Glendale, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194795526.
Provider's Profile
| Full Name | Mark S Holland |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 25 E Street Ste D1, Hickam, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194795526
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 06/07/2011
Medical Identifiers
Medical identifiers for Mark S Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194795526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11438 (Colorado) | 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. Mark S 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 Address | Practice Location Address |
|---|
Mark S Holland,
3505 Command Dr,
Glendale, AZ 85307-2235
Ph: () - | Mark S Holland,
25 E Street Ste D1,
Hickam, HI 96853-5418
Ph: (808) 448-3405 |
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