Provider Demographics
NPI:1821741778
Name:WOODLEE, HOLLY (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:WOODLEE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3525
Mailing Address - Country:US
Mailing Address - Phone:214-803-3158
Mailing Address - Fax:
Practice Address - Street 1:825 W YELLOWJACKET LN
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4818
Practice Address - Country:US
Practice Address - Phone:972-772-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX730958163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse