Individual
BENJAMIN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE STE 4600, ALBUQUERQUE, NM 87106-4925
(505) 563-6450
(505) 563-6484
Mailing address
201 CEDAR ST SE STE 4600, ALBUQUERQUE, NM 87106-4925
(505) 563-6450
(505) 563-6484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01994
NM
Other
Enumeration date
07/16/2012
Last updated
11/12/2012
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