Individual
HOLLIE WADDELL NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2025015199
MO
363LA2100X
Acute Care Nurse Practitioner
432752
NY
Other
Enumeration date
07/25/2023
Last updated
07/23/2025
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