Provider Demographics
NPI:1699042317
Name:HOLLOWAY, DARLENE (ND, LMBT, CT, ST)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:ND, LMBT, CT, ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3935
Mailing Address - Country:US
Mailing Address - Phone:919-380-0023
Mailing Address - Fax:919-380-0023
Practice Address - Street 1:919 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3935
Practice Address - Country:US
Practice Address - Phone:919-380-0023
Practice Address - Fax:919-380-0023
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath