Individual
LEE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 S MAIN ST, FLORENCE, AZ 85132-3012
(520) 868-5811
(520) 868-1223
Mailing address
PO BOX 669, FLORENCE, AZ 85132-3012
(520) 868-5811
(520) 868-1223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN039226
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945199
—
AZ
Enumeration date
04/19/2006
Last updated
02/15/2012
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