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NPI Code Detail

MEDICARE: PATRICE MARLENE HOLLIDAY FNP-C

MEDICARE: PATRICE MARLENE HOLLIDAY FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN18610SC
2363LF0000XFamily Nurse Practitioner9232802FL
3363LF0000XFamily Nurse Practitioner2016035060MO
4363LF0000XFamily Nurse PractitionerAPRN11013337FL

General Provider Information

NPI Number : 1407288053
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE MARLENE HOLLIDAY FNP-C
Provider Business Mailing Address
First Line : 7611 25TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5236
Country : US
Telephone Number : 941-376-1944
Fax Number :
Provider Business Practice Location Address
First Line : 4401 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34210-3142
Country : US
Telephone Number : 941-357-5550
Fax Number : 941-792-7152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 04/24/2024

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Directions to “ PATRICE MARLENE HOLLIDAY FNP-C” Practice Location

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