Individual
AMY HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3311
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR29631
AK
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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