Provider Demographics
NPI:1194129288
Name:KRINSKY, HOLLI
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:
Last Name:KRINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BAKERS RD
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:OH
Mailing Address - Zip Code:43976-7709
Mailing Address - Country:US
Mailing Address - Phone:740-942-7516
Mailing Address - Fax:740-942-7505
Practice Address - Street 1:705 BAKERS RD
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:OH
Practice Address - Zip Code:43976-7709
Practice Address - Country:US
Practice Address - Phone:740-942-7516
Practice Address - Fax:740-942-7505
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.365435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse