Individual
HOLLY JOY PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
1029 SAINT GEORGES LN., LANDENBERG, PA 19350
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R207020
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00793
DE
Other
Enumeration date
10/13/2017
Last updated
04/26/2020
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