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Individual

MS. DENISE MICHELE HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC

Contact information

Practice address
1251 HICKORY ST, MELBOURNE, FL 32901-3221
(321) 434-3420
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 833-7505

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9168291
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016275600
FL
01
M7087
MEDICARE HFPSI
FL
01
MY783
MEDICARE HFMG
FL
Enumeration date
07/02/2008
Last updated
10/30/2020
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