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NPI Code Detail

MEDICARE: PATRICIA HOLLOWAY

MEDICARE: PATRICIA 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
1104100000XSocial WorkerAZ-13686AZ

General Provider Information

NPI Number : 1134682305
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HOLLOWAY
Provider Business Mailing Address
First Line : 525 W BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85201-3202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 W BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85201-3202
Country : US
Telephone Number : 480-684-8345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2019
Last Update Date : 02/12/2026

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Directions to “ PATRICIA HOLLOWAY ” Practice Location

Language Start Address Practice Location
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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