Individual provider · Type 1 NPI
Mariko Holland, NURSE PRACTITIONER
Pediatric Nurse Practitioner · San Rafael, CA
NPI number
1922468479
Active
Practice location
141 Rafael Dr
San Rafael, CA 94901-2271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 22133 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922468479
Mariko Holland, NURSE PRACTITIONER's National Provider Identifier is 1922468479, issued on Feb 26, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Rafael, CA. The record was last updated on Feb 26, 2016.