Individual
MARTHA C HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0024052901
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9269394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010204011
—
VA
Enumeration date
11/02/2006
Last updated
09/06/2011
Update your record
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