Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc

NPI 1407250715 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1407250715
Enumeration Date 10/15/2014
Last Updated 10/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HOLLY HOLLY
Position PSYCHIATRIC NURSE PRACTITIONER
Phone (515) 955-1836
Fax (515) 955-7115
Practice Location
1728 CENTRAL AVE
SUITE 14
FORT DODGE IA, 50501-4200, US
Phone (515) 955-1836
Fax (515) 955-7115
Business Location
1728 CENTRAL AVE
SUITE 14
FORT DODGE IA, 50501-4200, US
Phone (515) 955-1836
Fax (515) 955-7115
Toxanomy
Taxonomy Code 251S00000X
License State Iowa
License Number G122426
Remove 1407250715 NPI Number
 

According to our database, Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc NPI is 1407250715, taxonomy code is 251S00000X and license number is G122426, license state is located at Iowa. Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc physically located at 1728 Central Ave, Fort Dodge IA, 50501-4200. NPI Number 1033115704 has the healthcare provider type.

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1407250715 NPI number is provided on an as is basis without warranty of any kind. 1407250715 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Mcclintock, Pmhnp-bc, Psychiatric Services, Plcc are for informational purposes only.