Healthcare Provider Details

I. General information

NPI: 1144010992
Provider Name (Legal Business Name): HOLLY PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4387 W SWAMP RD UNIT 195
DOYLESTOWN PA
18902-1039
US

IV. Provider business mailing address

4387 W SWAMP RD UNIT 195
DOYLESTOWN PA
18902-1039
US

V. Phone/Fax

Practice location:
  • Phone: 445-200-7676
  • Fax:
Mailing address:
  • Phone: 445-200-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN667006
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: