Individual
MRS. HOLLY A HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7023 OLD JAHNKE RD, RICHMOND, VA 23225-4126
(804) 320-1353
Mailing address
1867 HOPE MEADOW WAY, POWHATAN, VA 23139-7061
(804) 320-1353
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024169649
VA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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