Individual provider · Type 1 NPI
Sandra Holloway
Gerontology Nurse Practitioner · Sparks, GA
NPI number
1851938559
Active
Practice location
607 Bethany St
Sparks, GA 31647-7139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN158478 (GA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1851938559
Sandra Holloway's National Provider Identifier is 1851938559, issued on Dec 2, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Sparks, GA. The record was last updated on Dec 2, 2019.