Moffett, Hollie Debra
Moffett, Hollie Debra is an sole proprietor health care provider with primary practice located at 11327 Okeechobee Blvd Ste 2&3 , Royal Palm Beach FL 33411-8724. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moffett, Hollie Debra can be contacted via phone (561) 340-1615.Contact Information
Primary practice address
11327 Okeechobee Blvd Ste 2&3
Royal Palm Beach FL 33411-8724
Phone: (561) 340-1615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | R39919 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9470855 | Florida |
Profile Details
| NPI number | 1598176133 |
|---|---|
| LBN Legal business name | Moffett, Hollie Debra |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2014 |
| Last updated | Jan 2nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598176133 | NPPES |
| Florida | Other | ARNP9470855 | ARNP MEDICAL LICENSE |
| Florida | Other | 14386497 | ARNP MEDICAL LICENSE |
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