Basic Information
| Provider Information | |||||||||
| NPI: | 1548807506 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BREZYNSKI | ||||||||
| FirstName: | HOLLY | ||||||||
| MiddleName: | REBECCA | ||||||||
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| Credential: | ARNP, PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | FRESENIUS KINDNEY CARE - HOME THERAPIES DEPARTMENT | ||||||||
| Address2: | 1717 SOUTH J STREET | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066271995 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1112 S CUSHMAN AVE | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984053631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535932144 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2019 | ||||||||
| LastUpdateDate: | 10/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 1548807506 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.