Individual
MRS. AMY F HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1 WASHINGTON ST, EAST STROUDSBURG, PA 18301-2816
(570) 426-7150
(570) 426-9484
Mailing address
121 STONELEIGH DR, EAST STROUDSBURG, PA 18301-9264
(570) 424-5176
(570) 426-9484
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DN001896
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN001896
PA STATE LICENSE
PA
Enumeration date
11/27/2006
Last updated
07/08/2007
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