Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | LM-0000137 | DE |
NPI | 1376760934 |
---|---|
Provider Name | Ms. Laura June Holloway |
First Address | Lewes, DE 19958-1663 |
Second Address | Lewes, DE 19958-1462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 30/11/2015 |