Individual
MS. HOLLY ANN WOLLASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE # 359776, SEATTLE, WA 98104-2420
(206) 731-2195
(206) 731-4350
Mailing address
1201 NE 130TH ST, SEATTLE, WA 98125-4034
(206) 361-7678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000306
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30000306
ARNP LICENSE
WA
Enumeration date
12/01/2006
Last updated
07/08/2007
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