Individual
MISS BROOKE HOLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1102 A1A N STE 104, PONTE VEDRA BEACH, FL 32082-4098
(904) 273-6533
(904) 273-6532
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(904) 273-6533
(904) 273-6532
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9267665
FL
Other
Enumeration date
03/09/2009
Last updated
09/27/2021
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