Individual
HOLLY IDOL TURBYFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2203 EASTCHESTER DR STE 105, HIGH POINT, NC 27265-1519
(336) 880-2419
(949) 437-8484
Mailing address
PO BOX 667, TRINITY, NC 27370-0667
(336) 880-2419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0050-01817
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004767
—
NC
Enumeration date
06/29/2006
Last updated
03/04/2022
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