Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | SP014632 | PA |
NPI | 1003200452 |
---|---|
Provider Name | Holly Mcfadden |
First Address | Sellersville, PA 18960-1551 |
Second Address | Sellersville, PA 18960-1551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 24/08/2016 |