Individual
HOLLY RENEE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, APRN
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
922 CAROLINA SANDS DR, CAROLINA BEACH, NC 28428-4617
(980) 219-1046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018681
NC
363LF0000X
Family Nurse Practitioner
5018681
NC
363LP2300X
Primary Care Nurse Practitioner
5018681
NC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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