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Individual

MS. CARRIE EB HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1420 N MULLAN RD STE 108, SPOKANE VALLEY, WA 99206
(509) 828-3030
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006641
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558356485
WA
Enumeration date
09/16/2005
Last updated
05/23/2018
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