Provider Demographics
NPI:1548691967
Name:HOLLAND, YASMEEN FAREEDA (LPN)
Entity type:Individual
Prefix:MS
First Name:YASMEEN
Middle Name:FAREEDA
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 BEACH 63RD ST
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1358
Mailing Address - Country:US
Mailing Address - Phone:718-300-9232
Mailing Address - Fax:
Practice Address - Street 1:515 BEACH 63RD ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1358
Practice Address - Country:US
Practice Address - Phone:718-300-9232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316882164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse