Individual
HOLLY KATHRYN HATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1719 6TH AVE S, BIRMINGHAM, AL 35294-0001
(205) 975-5587
Mailing address
1719 6TH AVE S, BIRMINGHAM, AL 35294-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-136564
AL
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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