Individual
HOLLY MARIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 N MAIN ST, FUQUAY VARINA, NC 27526-8573
(919) 235-6499
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012132
NC
363LF0000X
Family Nurse Practitioner
Primary
5012132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285280313
—
NC
Enumeration date
08/14/2019
Last updated
12/04/2025
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