Individual
CYNTHIA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 802-3146
(317) 870-0499
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000809
IN
363A00000X
Physician Assistant
Primary
10000809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000742508
ANTHEM PTAN
IN
05
—
300012373
—
IN
Enumeration date
08/12/2006
Last updated
02/11/2025
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