Provider Demographics
NPI:1467280271
Name:DEVOL, HOLLY N (SRNA)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:N
Last Name:DEVOL
Suffix:
Gender:F
Credentials:SRNA
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:DEVOL
Other - Last Name:CRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HOLLY DEVOL CRAFT
Mailing Address - Street 1:7102 BOWEN CORNER AVE UNIT 7102
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410-4813
Mailing Address - Country:US
Mailing Address - Phone:864-238-1400
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL UNIVERSITY OF SOUTH CAROLINA 151 RUTLEDGE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-792-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRN9345243163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine