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NPI Code Detail

MEDICARE: DR. MARIANNA HOLLAND CNM

MEDICARE: DR. MARIANNA HOLLAND CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife99618MT
2367A00000XAdvanced Practice Midwife101198MT
3367A00000XAdvanced Practice MidwifeAP11727AZ

General Provider Information

NPI Number : 1356712822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANNA HOLLAND CNM
Provider Business Mailing Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 623-748-7655
Fax Number : 602-926-0999
Provider Business Practice Location Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 623-748-7655
Fax Number : 602-926-0999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 02/22/2024

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Directions to “ DR. MARIANNA HOLLAND CNM” Practice Location

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