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Individual

MRS. EMILY BROCK HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9530 COSNER DR STE 200, FREDERICKSBURG, VA 22408-7760
(540) 373-1331
Mailing address
3506 HERMITAGE RD APT A, RICHMOND, VA 23227-4308
(804) 396-0506

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001253217
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178063
VA

Other

Enumeration date
09/15/2019
Last updated
09/15/2019
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