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Individual
MRS. HOLLY MICHAUX ENDERS
Active
Individual
MRS. HOLLY MICHAUX ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9476466
FL
363LP2300X
Primary Care Nurse Practitioner
0024174157
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9476466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613336-01
BLUE CROSS/BLUE SHIELD
MD
05
—
699858500
—
MD
Enumeration date
05/06/2006
Last updated
03/28/2018
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