Holley, Angela Lea

Holley, Angela Lea is an individual health care provider with primary practice located at 22725 Highway 76 East , Clinton SC 29325-7527. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Holley, Angela Lea can be contacted via phone (864) 833-9100.

Contact Information

Primary practice address
22725 Highway 76 East Clinton SC 29325-7527
Phone: (864) 833-9100
Fax: (864) 833-9458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 68225 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 25295 South Carolina

Profile Details

NPI number 1376116749
LBN Legal business name Holley, Angela Lea
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2021
Last updated Nov 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376116749 NPPES
South Carolina MEDICAID PENDING

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