Provider Demographics
NPI:1164284923
Name:RHODEN, HOLLY AMBER (RN)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:AMBER
Last Name:RHODEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 PRICHARD ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-3366
Mailing Address - Country:US
Mailing Address - Phone:606-371-2351
Mailing Address - Fax:
Practice Address - Street 1:251 PRICHARD ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-3366
Practice Address - Country:US
Practice Address - Phone:606-371-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1178158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse