Individual
HOLLY ANN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 HOSPITAL DR BLDG 2600, ALIQUIPPA, PA 15001-2150
(724) 304-4950
(412) 279-3416
Mailing address
1 HOSPITAL DR BLDG 2600, ALIQUIPPA, PA 15001-2150
(724) 304-4950
(412) 279-3416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP012800
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012800
LICENSE NUMBER
PA
05
—
SP012800
—
PA
Enumeration date
06/03/2013
Last updated
05/14/2019
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