Individual
HOLLIE STEFFENS DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2900 2ND AVE, LAKE CHARLES, LA 70601-8906
(337) 480-8994
(337) 480-8993
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN094646-AP06583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174746
—
LA
01
—
AP06583
STATE LICENSE
LA
Enumeration date
11/14/2011
Last updated
04/27/2022
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