Klaudija Holliday

Individual provider Active NPI Registered Nurse · Commercial Point, OH

NPI 1508553983 · NPPES record last updated Apr 18, 2023

Key facts

NPI
1508553983
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.439458 (OH)
Practice address
421 Oakland Hills Loop
Commercial Point, OH 43116-0016
Phone
(424) 347-4115
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN.439458OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.439458 OH Yes

Addresses

Primary practice location

421 Oakland Hills Loop
Commercial Point, OH 43116-0016

Mailing address

421 Oakland Hills Loop
Commercial Point, OH 43116-0016
Phone (424) 347-4115

Other providers in Commercial Point, OH

All providers in Commercial Point, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.