Provider Demographics
NPI:1922147131
Name:HOLLEY, ALMA MARIE (RN,BSN, MHP,CCM)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:MARIE
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:RN,BSN, MHP,CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 LAKE RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4857
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:202-745-8172
Practice Address - Street 1:5511 LAKE RIDGE TER
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4857
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-8172
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN 960418163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management