Provider Demographics
NPI:1578363867
Name:HOLZERLAND, WAYNE
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:HOLZERLAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 E HAYES AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4873
Mailing Address - Country:US
Mailing Address - Phone:402-649-5854
Mailing Address - Fax:
Practice Address - Street 1:1307 E HAYES AVE UNIT B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4873
Practice Address - Country:US
Practice Address - Phone:402-649-5854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide