Individual
MARY KATHERINE HOLYOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, ML 2003, CINCINNATI, OH 45229
(513) 636-4432
(513) 636-3952
Mailing address
4949 SAMANTHA CT, LIBERTY TWP, OH 45011-0763
(314) 304-0754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0034870
OH
363LP0222X
Critical Care Pediatric Nurse Practitioner
0034870
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2023
Last updated
10/17/2023
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