Holly Shadle Valid NPI
Individual provider · Family Nurse Practitioner · Williamsport, PA
- NPI
- 1235631490
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- SP018629 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-03-05
- Last updated
- 2022-02-07
Practice location
740 High St, Suite 3002
Williamsport, PA 17701-3102
(570) 321-2820