Provider Demographics
NPI:1285289900
Name:HOLLAND, ANNA LEIGH (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEIGH
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LEIGH
Other - Last Name:PLACKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8000 SONNET AVE APT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8805
Mailing Address - Country:US
Mailing Address - Phone:979-716-7322
Mailing Address - Fax:
Practice Address - Street 1:8000 SONNET AVE APT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8805
Practice Address - Country:US
Practice Address - Phone:979-716-7322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX973201163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice