Provider Demographics
NPI:1831483973
Name:HIEB, HOLLY RENE (MD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:RENE
Last Name:HIEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:6401 FRANCE AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2104
Practice Address - Country:US
Practice Address - Phone:952-924-5000
Practice Address - Fax:952-924-5382
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2023-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA248893207R00000X
VA0101256075208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist