Individual
AMANDA DAWN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
134 HOMER AVENUE, CORTLAND, NY 13045
(607) 756-3500
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346820
NY
Other
Enumeration date
08/17/2021
Last updated
09/11/2021
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