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Holly Shadle
Family Nurse Practitioner in Williamsport, Pennsylvania
NPI 1235631490

Holly Shadle is a Family Nurse Practitioner based in Williamsport, PA and is specialized in Family. Holly Shadle practices in Williamsport, PA. The NPI Number for Holly Shadle is 1235631490 and holds a License No. SP018629 (Pennsylvania).

The current practice location address for Holly Shadle is 740 High St, Williamsport, PA and can be reached out via phone at 570-321-2820.

Location: 740 High St, Williamsport, PA, 17701-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235631490
Provider Name
Holly Shadle
Credential
Provider Entity Type
Individual
Gender
Female
Address
740 High St, Williamsport, PA, 17701-1900
Phone Number
570-321-2820
Fax Number
Provider Enumeration Date
03/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
740 High St
City
Williamsport
State
Pennsylvania
Zip
17701-3102
Phone Number
570-321-2820
Fax Number
person
Provider Business Mailing Address Details
Address
740 High St
City
Williamsport
State
Pennsylvania
Zip
17701-3102
Phone Number
570-321-2820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP018629 (Pennsylvania)
Definition
Definition to come...
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