Individual
MARIAH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
125 GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9616
(207) 789-6166
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3019002
KY
Other
Enumeration date
03/02/2023
Last updated
02/04/2025
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