Individual
HOLLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1165 IMPERIAL DR STE 200, HAGERSTOWN, MD 21740-6583
(301) 665-9098
(301) 665-9096
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
R190986
MD
363L00000X
Nurse Practitioner
Primary
R190986
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R190986
LICENSE
MD
Enumeration date
10/26/2016
Last updated
01/19/2024
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