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Individual

HOLLY L MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
6565 N CHARLES ST STE 306, BALTIMORE, MD 21204-5804
(443) 849-4000
Mailing address
1410 CRAIN HWY N STE 5A, GLEN BURNIE, MD 21061-9305

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R235523
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222797500
MD
Enumeration date
10/23/2018
Last updated
12/12/2023
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