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Individual

HOLLY BEAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1745 PANTHER BRANCH RD, BANDY, VA 24602
(276) 971-6165
Mailing address
PO BOX 596, CEDAR BLUFF, VA 24609-0596

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188868
VA

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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