Individual
HOLLY MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5789 STATE FARM DR STE 110, ROHNERT PARK, CA 94928-6308
(707) 615-3347
Mailing address
5789 STATE FARM DR STE 110, ROHNERT PARK, CA 94928-6308
(707) 615-3347
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2281790
MA
363LP2300X
Primary Care Nurse Practitioner
95393416
CA
Other
Enumeration date
07/08/2014
Last updated
03/10/2025
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