Individual
MRS. KELLY HOLDERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE C, WOODLAWN, VA 24381-3034
(276) 238-0911
(276) 238-0912
Mailing address
5261 CARROLLTON PIKE, SUITE C, WOODLAWN, VA 24381-3034
(276) 238-0911
(276) 238-0912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017142656
AUTHORIZATION TO PRESCRIBE
VA
01
—
0024173248
FNP LICENSE
VA
Enumeration date
02/02/2016
Last updated
07/14/2021
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