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

Holly Bohannan, CRNAMSNA

Individual provider Registered Nurse · NPI 1326097890

Holly Bohannan, CRNAMSNA is a Certified Registered Nurse Anesthetist (CRNA) in Bentonville, Arkansas. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Licensed in
AR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone: (479) 530-6649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C02604 CRNA (AR)
Registered Nurse Taxonomy 163W00000X · Licence R65511 (AR)

Record details

NPI number1326097890
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNAMSNA
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESJuly 16, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bentonville