Individual
ANA C HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3400 MINISTRY PKWY, SUITE 200, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391022500
TRICARE HEALTHNET
WI
Enumeration date
07/11/2006
Last updated
11/18/2010
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