Provider Demographics
NPI:1992802698
Name:HOLLIN, CATHY JO (RN)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:JO
Last Name:HOLLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14055 NEW HARMONY SALEM RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-9008
Mailing Address - Country:US
Mailing Address - Phone:513-532-1148
Mailing Address - Fax:513-532-1148
Practice Address - Street 1:14055 NEW HARMONY SALEM RD
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-9008
Practice Address - Country:US
Practice Address - Phone:513-532-1148
Practice Address - Fax:513-532-1148
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 249879163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2063010Medicare UPIN