Provider Demographics
NPI:1558022152
Name:SPINKS, HOLLY ANGELINA (RN)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANGELINA
Last Name:SPINKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 AZURE RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-7861
Mailing Address - Country:US
Mailing Address - Phone:302-312-6332
Mailing Address - Fax:
Practice Address - Street 1:531 AZURE RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-7861
Practice Address - Country:US
Practice Address - Phone:302-312-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9422674163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice