Healthcare Provider Details

I. General information

NPI: 1033645395
Provider Name (Legal Business Name): HOLLY KRAWZA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 RAHNCLIFF CT STE 400
EAGAN MN
55122-3470
US

IV. Provider business mailing address

2000 RAHNCLIFF CT STE 400
EAGAN MN
55122-3470
US

V. Phone/Fax

Practice location:
  • Phone: 888-290-1209
  • Fax:
Mailing address:
  • Phone: 888-290-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: