Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edris Y Holland, RNMSNFNP-C

Individual provider Registered Nurse · NPI 1154929495

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 Blvd
Palmdale, CA 93551-4229
Phone: (661) 947-3300
Fax: (661) 947-3322
Show map & directions

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 number1154929495
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSNFNP-C
Sole proprietorYes
NPI enumeratedOctober 9, 2020
Last updated in NPPESApril 11, 2021
Certification dateApril 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Palmdale Medical Clinic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palmdale