Individual
LORETTA HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 STONEHURST ST, CHESAPEAKE, VA 23324-3358
(757) 472-8893
Mailing address
1910 STONEHURST ST, CHESAPEAKE, VA 23324-3358
(757) 472-8893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177542
VA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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