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NPI Code Detail

MEDICARE: HOLLY M NEAL APRN

MEDICARE:   HOLLY M NEAL  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner3006831KY

General Provider Information

NPI Number : 1649613290
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY M NEAL APRN
Provider Business Mailing Address
First Line : PO BOX 1079
Second Line :
City : HENDERSON
State : KY
Zip : 42419-1079
Country : US
Telephone Number : 270-827-0353
Fax Number : 270-827-4966
Provider Business Practice Location Address
First Line : 736 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2938
Country : US
Telephone Number : 270-827-4000
Fax Number : 270-827-5325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2013
Last Update Date : 04/18/2013

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Directions to “ HOLLY M NEAL APRN” Practice Location

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