Individual
HOLLY MULVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 SAGEWOOD DR, PORT ORANGE, FL 32127-6718
(386) 290-1154
Mailing address
339 SAGEWOOD DR, PORT ORANGE, FL 32127-6718
(386) 290-1154
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9203637
FL
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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