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NPI Code Detail

MEDICARE: BARBARA ELLEN HOLLINGER RN, FNP

MEDICARE: BARBARA ELLEN HOLLINGER RN, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN218196, NP1878CA

General Provider Information

NPI Number : 1558471474
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ELLEN HOLLINGER RN, FNP
Provider Business Mailing Address
First Line : 19 CARMEL AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-4112
Country : US
Telephone Number : 510-528-6391
Fax Number :
Provider Business Practice Location Address
First Line : 1647 VALENCIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5012
Country : US
Telephone Number : 415-647-3666
Fax Number : 415-282-3756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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