ANGELIC MARIE HOLLAND LPN
NPI 1245991405
Licensed Practical Nurse in Bay Shore, NY

Q: What is Angelic Holland's NPI number?

The NPI number for Angelic Holland is 1245991405. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Angelic Holland's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Angelic Holland was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2022

1061 JOSELSON AVE, BAY SHORE, NY 11706(631) 524-4339 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angelic Marie Holland Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIC MARIE HOLLAND LPN (NPI 1245991405) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (339746) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1245991405

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANGELIC MARIE HOLLANDCredential: LPN

Location Address1061 JOSELSON AVEBay Shore, NY 11706-2036

Mailing Address1061 Joselson AveBay Shore, NY 11706-2036 · (631) 524-4339

Phone(631) 524-4339

Sole ProprietorYes

Enumeration DateJanuary 10, 2022

NPPES CertifiedJanuary 8, 2022

✔ NPI 1245991405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 339746

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1061 JOSELSON AVE, Bay Shore, NY 11706

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelic Holland's NPI number?

The NPI number for Angelic Holland is 1245991405. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Angelic Holland located?

Angelic Holland practices at 1061 Joselson Ave, Bay Shore, NY 11706. The listed phone number is (631) 524-4339.

What is Angelic Holland's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angelic Holland was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.