| 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 |