Doctor Name: | MRS. HOLLY ANN HOOVER |
NPI Number: | 1275712465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN2198482 |
Business Practice Address: | 220 Pine Ave Niceville, FL - 325782831 |
Business Phone Number: | 8508334101 |
Business Fax Number: | 8508334103 |
Mailing Address: | 221 Hospital Dr Ne, FORT WALTON BEACH |
State: | FL |
Postal Code: | 325485066 |
Phone Number: | 8508339240 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN2198482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |