Individual
MR. TIMOTHY ALBERT HOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 NORTH MAIN ST, SUITE 200, GREENSBURG, PA 15601
(724) 205-4087
Mailing address
200 OAK ST, MANOR, PA 15665
(724) 205-4087
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN602871
PA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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