Provider Demographics
NPI:1992422166
Name:HOLLAND, SARA LOUISE (PMNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LOUISE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:PMNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LOUISE
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMNP
Mailing Address - Street 1:2219 SAWDUST RD STE 1104
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2580
Mailing Address - Country:US
Mailing Address - Phone:832-458-1344
Mailing Address - Fax:832-565-1808
Practice Address - Street 1:2219 SAWDUST RD STE 1104
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2580
Practice Address - Country:US
Practice Address - Phone:832-458-1344
Practice Address - Fax:832-565-1808
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089760363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty