Healthcare Provider Details

I. General information

NPI: 1629496864
Provider Name (Legal Business Name): ERIN HOLLAND AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 WAYZATA BLVD FL 3
WAYZATA MN
55391-2017
US

IV. Provider business mailing address

100 CROSSING BLVD
FRAMINGHAM MA
01702-5555
US

V. Phone/Fax

Practice location:
  • Phone: 888-964-6681
  • Fax: 888-662-0859
Mailing address:
  • Phone: 888-964-6681
  • Fax: 888-662-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.001500
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: