Individual
MRS. HOLLY WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
104 W ALABAMA AVE, SUITE B, ALBERTVILLE, AL 35950-1642
(256) 891-1221
Mailing address
104 W ALABAMA AVE, SUITE B, ALBERTVILLE, AL 35950-1642
(256) 891-1221
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-132913
AL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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