Healthcare Provider Details
I. General information
NPI: 1558229351
Provider Name (Legal Business Name): EHW MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
411 OLD MILL RD
WINCHESTER TN
37398-2444
US
IV. Provider business mailing address
1467 BONNER WAY
ESTILL SPRINGS TN
37330-4109
US
V. Phone/Fax
- Phone: 931-313-8724
- Fax:
- Phone: 931-273-9983
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MINDY
HOLLOWAY
Title or Position: NURSE PRACTITIONER/OWNER
Credential: ACNP-BC, FNP-BC
Phone: 931-273-9983