Edris Y Holland, RNMSNFNP-C
Edris Y Holland, RNMSNFNP-C is a Nurse Practitioner in Palmdale, California. Qualified in 2020, 6 years ago. Practices with Palmdale Medical Clinic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
520 W Palmdale BlvdPalmdale, CA 93551-4229
Phone: (661) 947-3300
Fax: (661) 947-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 95017058 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 374283 (CA) |
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence 374283 (CA) |
Record details
| NPI number | 1154929495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RNMSNFNP-C |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2020 |
| Last updated in NPPES | April 11, 2021 |
| Certification date | April 11, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Palmdale Medical Clinic Inc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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