MEDICARE: SHAYLA 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
1	363LW0102X	Women's Health Nurse Practitioner	0024191358	VA

General Provider Information

NPI Number	:	1841023512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYLA HOLLOWAY

Provider Business Mailing Address
First Line	:	1201 S ROSS ST APT 355
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 N GEORGE MASON DR STE 5C
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1953
Country	:	US
Telephone Number	:	703-717-4163
Fax Number	:	703-717-4165

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	02/23/2026

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Directions to “ SHAYLA HOLLOWAY ” Practice Location

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