Individual
MS. HOLLY M OLOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
(864) 455-4135
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3222
SC
367500000X
Certified Registered Nurse Anesthetist
4704197192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1616
—
SC
Enumeration date
10/13/2006
Last updated
09/02/2020
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