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Individual

NICOLE MARLENE HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4216
(717) 337-4249
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 337-4249

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015219
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102482298
PA
01
1589518
GATEWAY-WMG
PA
01
2511942
HIGHMARK BLUE SHIELD-WMG
PA
01
30077871
AMERIHEALTH MERCY-WMG
PA
01
30080144
AMERIHEALTH MERCY-WMG
PA
01
310452
UNISON-WMG
PA
01
311595
UNITED HEALTHCARE COMM PLAN-YH
PA
01
415244
UPMC-WMG
PA
Enumeration date
11/25/2007
Last updated
01/07/2016
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