Most Relevant Information
Provider Data
| NPI Number: | 1003687088 |
| Provider Name: | KATHLEEN HOLLER RN EMS |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 404494 |
Most Important Dates
| Enumeration Date: | 01/10/2024 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
1392 SWEENEY ST
NORTH TONAWANDA
NY
141204876
Practice Location Phone/Fax
| Phone: | 7164173916 |
| Fax: |
Provider Mailing Location
1392 SWEENEY ST
NORTH TONAWANDA
NY
141204876
Provider Mailing Phone/Fax
| Phone: | 7164173916 |
| Fax: |