Healthcare Provider Details

I. General information

NPI: 1497387484
Provider Name (Legal Business Name): MEGHAN F HOLLAND NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN F FARRELL

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 02/21/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST
DOVER DE
19901-3530
US

IV. Provider business mailing address

640 S. STATE STREET MAIL CODE 3055
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7320
  • Fax: 302-744-3235
Mailing address:
  • Phone: 302-480-1688
  • Fax: 302-480-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0001387
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: