Individual
MARY L HOLLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
113 MAIN ST, FIRST FLOOR, BROOKVILLE, PA 15825-1212
(814) 849-2233
(814) 849-2780
Mailing address
113 MAIN ST, FIRST FLOOR, BROOKVILLE, PA 15825-1212
(814) 849-2233
(814) 849-2780
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008503L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018355140004
—
PA
Enumeration date
07/22/2005
Last updated
07/09/2007
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