NPI | 1760950331 |
---|---|
Other Name | HOLLY A MADDOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024176838) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176838) |
363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024176838) | |
Enumeration Date | 2018-11-12 |
Last Update Date | 2023-11-21 |