Individual
DIANA HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCM, TCM
Contact information
Practice address
124 E TIVERTON WAY, LEXINGTON, KY 40517-1520
(478) 456-2504
Mailing address
124 E TIVERTON WAY, LEXINGTON, KY 40517-1520
(478) 456-2504
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
269381
SC
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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