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NPI Code Detail

MEDICARE: DIANA HOLLOWAY

MEDICARE: DIANA HOLLOWAY
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
1164W00000XLicensed Practical Nurse2-021270AL

General Provider Information

NPI Number : 1972179638
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA HOLLOWAY
Provider Business Mailing Address
First Line : 9283 W US 84
Second Line :
City : NEWTON
State : AL
Zip : 36352-8207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9283 W US 84
Second Line :
City : NEWTON
State : AL
Zip : 36352-8207
Country : US
Telephone Number : 334-692-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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Directions to “ DIANA HOLLOWAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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