Individual
MR. MICHAEL LAWRENCE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, NP
Contact information
Practice address
2719 NEUSE BLVD STE A, NEW BERN, NC 28562-2857
(843) 601-2530
Mailing address
5221 SPRINGWOOD DR, TRENT WOODS, NC 28562-6738
(843) 601-2530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015807
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
989
NC
367500000X
Certified Registered Nurse Anesthetist
RN178935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505840
—
TN
05
—
406726600
—
MD
Enumeration date
06/28/2005
Last updated
11/21/2023
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