MEDICARE: CAILIN A HOLLE NP

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
1	363LF0000X	Family Nurse Practitioner	APN.1001080	CO

General Provider Information

NPI Number	:	1720683113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAILIN A HOLLE NP

Provider Business Mailing Address
First Line	:	1746 COLE BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3208
Country	:	US
Telephone Number	:	443-388-3948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1746 COLE BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3208
Country	:	US
Telephone Number	:	443-388-3948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/03/2025

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Directions to “ CAILIN A HOLLE NP” Practice Location

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