Individual
GENEVIEVE ANN HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL, PHILADELPHIA, PA 19104-5127
(215) 662-2428
(215) 349-5923
Mailing address
3400 CIVIC CENTER BLVD, PCAM 2 WEST ADIMINSTRATIVE OFFICE RAD/ONC, PHILADELPHIA, PA 19104-5127
(215) 662-2428
(215) 349-5923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008113
PA
Other
Enumeration date
09/22/2006
Last updated
07/10/2012
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