Individual
HOLLY HOLLEMBEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
404 E FRONT ST, BYERS, CO 80103-9727
(303) 822-5100
(303) 822-5106
Mailing address
PO BOX 248, HUGO, CO 80821-0248
(719) 743-2421
(719) 743-2355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0994689
CO
Other
Enumeration date
06/10/2019
Last updated
03/15/2023
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