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Individual

HOLLY A POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(720) 494-3121
(720) 494-3108
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3121
(720) 494-3108

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0183025
CO
363L00000X
Nurse Practitioner
Primary
APN.0994006-NP
CO

Other

Enumeration date
06/26/2018
Last updated
07/19/2018
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