Individual
REBECCA ANNE HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2705 N LEBANON ST STE 150, LEBANON, IN 46052-8629
(765) 485-8880
(765) 485-8889
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28169233A
IN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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