Individual
NICOLE HOLLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 WALNUT ST, PHILADELPHIA, PA 19107-5509
(215) 503-7345
Mailing address
900 WALNUT ST, PHILADELPHIA, PA 19107-5509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP-015604
PA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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