Individual
HOLLY SMITH HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1420 US 52 N STE G, ALBEMARLE, NC 28001-2622
(704) 982-9877
Mailing address
1420 US HWY 52 NORTH, SUITE G, ALBEMARLE, NC 28001
(704) 982-9877
(704) 982-9880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
204971
NC
363LF0000X
Family Nurse Practitioner
Primary
5006616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588094726
—
NC
Enumeration date
11/26/2013
Last updated
07/03/2019
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