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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376116749 | NPPES |
South Carolina | MEDICAID | PENDING |
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