Individual
MARCY N HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8670 W CHEYENNE AVE, UNIT1, LAS VEGAS, NV 89129-7456
(702) 750-3425
(702) 750-3434
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 750-3425
(702) 750-3434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114180122
—
NV
Enumeration date
07/09/2008
Last updated
01/17/2017
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