MICAHL HOLLOWAY

GARY, IN
NPI1942957535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28199983A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71012573A)
Enumeration Date2022-03-03
Last Update Date2024-08-16
Business Address
MICAHL HOLLOWAY APRN
7201 W 25TH AVE
GARY, IN 46406-2940
Phone number: 219-979-2026
Mailing Address
MICAHL HOLLOWAY APRN
7201 W 25TH AVE
GARY, IN 46406-2940
Phone number: 219-979-2026