Individual
TIFFANY H HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
1440 N 25TH ST, SHEBOYGAN, WI 53081
(920) 457-9100
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5911
WI
363LF0000X
Family Nurse Practitioner
Primary
178643
WI
Other
Enumeration date
08/06/2014
Last updated
09/16/2022
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