Dr. Renae Holland
Pediatrician
1300 E Center St Utah State Hospital
Provo
, Utah 84606-3554
Dr. Renae Holland
Pediatrician
1300 E Center St Utah State Hospital
Provo
, Utah 84606-3554
(801) 344-4225
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Renae Holland
- Po Box 270
- Provo, UT
- Zip : 84606-0270
- Fax : (801) 344-4225
- Phone : (801) 344-4311
Second Address
- Dr. Renae Holland
- 1300 E Center St Utah State Hospital
- Provo, UT
- Zip : 84606-3554
- Fax : (801) 344-4225
- Phone : (801) 344-4311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 1790421205 | UT |
National Provider Identifier
| NPI | 1003852765 |
|---|---|
| Provider Name | Dr. Renae Holland |
| First Address | Provo, UT 84606-0270 |
| Second Address | Provo, UT 84606-3554 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09352 | (05) | UT |
| E70087 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.