Provider Demographics
NPI:1861244691
Name:STROMAN-HOLLOWAY, TERRAINA MARIE
Entity type:Individual
Prefix:
First Name:TERRAINA
Middle Name:MARIE
Last Name:STROMAN-HOLLOWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-1548
Mailing Address - Country:US
Mailing Address - Phone:248-841-5519
Mailing Address - Fax:
Practice Address - Street 1:87 OLIVER ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-1548
Practice Address - Country:US
Practice Address - Phone:248-841-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI9051237163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant