Healthcare Provider Details

I. General information

NPI: 1932049475
Provider Name (Legal Business Name): CATHERINE HOLLAND REGISTERED PROFESSIONAL NURSE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4931 MAXWELL RD
PALMYRA NY
14522-9402
US

IV. Provider business mailing address

4931 MAXWELL RD
PALMYRA NY
14522-9402
US

V. Phone/Fax

Practice location:
  • Phone: 585-281-0067
  • Fax: 585-281-0067
Mailing address:
  • Phone: 585-281-0067
  • Fax: 585-281-0067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE HOLLAND
Title or Position: OWNER, CERTIFIED CARE MANAGER
Credential: RN
Phone: 585-281-0067