Moffett, Hollie Debra

Moffett, Hollie Debra is an sole proprietor health care provider with primary practice located at 11327 Okeechobee Blvd Ste 2&3 , Royal Palm Beach FL 33411-8724. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moffett, Hollie Debra can be contacted via phone (561) 340-1615.

Contact Information

Primary practice address
11327 Okeechobee Blvd Ste 2&3 Royal Palm Beach FL 33411-8724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R39919 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9470855 Florida

Profile Details

NPI number 1598176133
LBN Legal business name Moffett, Hollie Debra
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2014
Last updated Jan 2nd, 2019 - about 5 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 1598176133 NPPES
Florida Other ARNP9470855 ARNP MEDICAL LICENSE
Florida Other 14386497 ARNP MEDICAL LICENSE

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