Holley, Martha C

Holley, Martha C is an individual health care provider with primary practice located at 12959 Palms West Dr Suite 210, Loxahatchee FL 33470-4937. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Holley, Martha C can be contacted via phone (561) 795-3333.

Contact Information

Primary practice address
12959 Palms West Dr Suite 210 Loxahatchee FL 33470-4937
Phone: (561) 795-3333
Fax: (561) 791-3002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0024052901 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9269394 Florida

Profile Details

NPI number 1164500476
LBN Legal business name Holley, Martha C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164500476 NPPES
Virginia MEDICAID 010204011

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