Individual
HOLLY MARIE SHOULDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 AIRPORT RD, GREENVILLE, KY 42345-2800
(812) 598-1218
Mailing address
956 SKYLINE DR, MADISONVILLE, KY 42431-3245
(812) 598-1218
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
1110152
KY
363L00000X
Nurse Practitioner
Primary
3017503
KY
Other
Enumeration date
01/22/2022
Last updated
03/22/2022
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