Individual
CHRISTY HALLIE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 W DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-1704
(270) 307-1980
(270) 900-0055
Mailing address
300 W DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-1704
(270) 307-1980
(270) 900-0055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1105950
KY
363LF0000X
Family Nurse Practitioner
Primary
3006696
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50109995
PASSPORT
KY
05
—
7100169600
—
KY
Enumeration date
02/14/2011
Last updated
03/07/2024
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