MEDICARE: COLLEEN WEEKS HOLLOWAY PA

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
1	363A00000X	Physician Assistant	PA1820	NV

General Provider Information

NPI Number	:	1659819845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN WEEKS HOLLOWAY PA

Provider Business Mailing Address
First Line	:	10956 DONNER PASS RD STE 110
Second Line	:
City	:	TRUCKEE
State	:	CA
Zip	:	96161-4860
Country	:	US
Telephone Number	:	530-581-8864
Fax Number	:

Provider Business Practice Location Address
First Line	:	10956 DONNER PASS RD STE 110
Second Line	:
City	:	TRUCKEE
State	:	CA
Zip	:	96161-4860
Country	:	US
Telephone Number	:	530-581-8864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	09/21/2022

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Directions to “ COLLEEN WEEKS HOLLOWAY PA” Practice Location

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