| Doctor Name: | HOLLY MCFADDEN |
| NPI Number: | 1003200452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP014632 |
| Business Practice Address: | 5430 Nw 33rd Ave Suite 106 Fort Lauderdale, FL - 333096349 |
| Business Phone Number: | 8778848277 |
| Business Fax Number: | |
| Mailing Address: | 5430 Nw 33rd Ave, Suite 106 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333096349 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2015 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | SP014632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |