Healthcare Provider Details

I. General information

NPI: 1427249499
Provider Name (Legal Business Name): MARSHALL T. HOLLINGER C.N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 FIRST RANGEWAY
WATERVILLE ME
04901-5254
US

IV. Provider business mailing address

PO BOX 486
NEWPORT ME
04953-0486
US

V. Phone/Fax

Practice location:
  • Phone: 207-616-0705
  • Fax:
Mailing address:
  • Phone: 207-649-3516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number09481-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRX 09481
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP91011
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: