Individual
MRS. HOLLY HARLOW SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2401 S CENTER ST, MARYVILLE, IL 62062-5401
(618) 344-3046
(618) 344-5284
Mailing address
2401 S CENTER ST, MARYVILLE, IL 62062-5401
(618) 344-3046
(618) 344-5284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041457619
IL
363L00000X
Nurse Practitioner
Primary
209016796
IL
Other
Enumeration date
11/05/2012
Last updated
01/05/2022
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