Provider Demographics
NPI:1174411623
Name:EARLES, HOLLY DOWDY (FNP-BC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:DOWDY
Last Name:EARLES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5082 THORNSPRING RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-7032
Mailing Address - Country:US
Mailing Address - Phone:540-235-1940
Mailing Address - Fax:
Practice Address - Street 1:120 OLD VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:RICH CREEK
Practice Address - State:VA
Practice Address - Zip Code:24147-9669
Practice Address - Country:US
Practice Address - Phone:540-726-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily