Provider Demographics
NPI:1538748397
Name:HOLHEALTH WELLNESS CENTER, A PROFESSIONAL NURSING CORPORATION
Entity type:Organization
Organization Name:HOLHEALTH WELLNESS CENTER, A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:530-828-4079
Mailing Address - Street 1:4110 CRYSTAL ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3319
Mailing Address - Country:US
Mailing Address - Phone:530-828-4079
Mailing Address - Fax:
Practice Address - Street 1:4161 OCEANSIDE BLVD STE 8
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6035
Practice Address - Country:US
Practice Address - Phone:760-493-7435
Practice Address - Fax:760-266-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service