Healthcare Provider Details

I. General information

NPI: 1316179260
Provider Name (Legal Business Name): AMY NATASHA HOLLAND AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2009
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5177 N BEND RD SUITE 1
CINCINNATI OH
45211-1900
US

IV. Provider business mailing address

421 MADISON AVE
COVINGTON KY
41011-1519
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-0731
  • Fax: 513-389-1453
Mailing address:
  • Phone: 513-576-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: