Healthcare Provider Details

I. General information

NPI: 1134404122
Provider Name (Legal Business Name): HOLLY MARIE BERRY-PRICE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY MARIE BERRY NP

II. Dates (important events)

Enumeration Date: 10/21/2011
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N KING ST STE B
HENDERSONVILLE NC
28792-4349
US

IV. Provider business mailing address

PO BOX 360
SYLVA NC
28779-0360
US

V. Phone/Fax

Practice location:
  • Phone: 828-693-9199
  • Fax: 828-538-4441
Mailing address:
  • Phone: 888-339-6065
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5005331
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: