Most Relevant Information
Provider Data
NPI Number: | 1003275199 |
Provider Name: | MARYKAY HOLT ARNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | ARNP1292862 |
Most Important Dates
Enumeration Date: | 02/17/2016 |
Last Updated: | 02/02/2023 |
Provider Practice Location
106 CORPORATE PARK DR STE 200&300
MOORESVILLE
NC
281177133
Practice Location Phone/Fax
Phone: | 7042359090 |
Fax: | 7042359101 |
Provider Mailing Location
PO BOX 60447
CHARLOTTE
NC
282600447
Provider Mailing Phone/Fax
Phone: | |
Fax: |