Individual
DEBORAH FAYE HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3777 VAN DUSSEN RD, EMMETT, ID 83617-9549
(208) 365-0890
(208) 365-0950
Mailing address
PO BOX 1015, EMMETT, ID 83617-1015
(208) 365-0890
(208) 365-0950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N-33941, NP-701A
ID
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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