Provider Demographics
NPI:1235403254
Name:VALI, HOLLY J (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:J
Last Name:VALI
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 1:16713 W ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6524
Mailing Address - Country:US
Mailing Address - Phone:720-638-9792
Mailing Address - Fax:
Practice Address - Street 1:16713 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6524
Practice Address - Country:US
Practice Address - Phone:720-638-9792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00367200363LF0000X
COAPN.0991868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily