Katina Latrice Holliday
Nurse Practitioner - Family Medicine
4200 E Compton Blvd
Compton
, California 90221-3663
Katina Latrice Holliday
Nurse Practitioner - Family Medicine
4200 E Compton Blvd
Compton
, California 90221-3663
(310) 493-2769
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Katina Latrice Holliday
- 14608 Van Ness Ave
- Gardena, CA
- Zip : 90249-3258
- Phone : (310) 493-2769
Second Address
- Katina Latrice Holliday
- 4200 E Compton Blvd
- Compton, CA
- Zip : 90221-3663
- Phone : (213) 488-9559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95000731 | CA |
National Provider Identifier
| NPI | 1003225533 |
|---|---|
| Provider Name | Katina Latrice Holliday |
| First Address | Gardena, CA 90249-3258 |
| Second Address | Compton, CA 90221-3663 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2014 |
| Last Update Date | 26/08/2014 |
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.