Provider Demographics
NPI:1093041980
Name:HOLLAND, LESLIE F (RN, CCRN)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:F
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:RN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350S. 118TH AVE
Mailing Address - Street 2:COLLIER ELEMENTARY SCHOOL
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323
Mailing Address - Country:US
Mailing Address - Phone:623-478-5910
Mailing Address - Fax:623-478-5920
Practice Address - Street 1:350S. 118TH AVE
Practice Address - Street 2:COLLIER ELEMENTARY SCHOOL
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323
Practice Address - Country:US
Practice Address - Phone:623-478-5910
Practice Address - Fax:623-478-5920
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN157460163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool