Provider Demographics
NPI:1881996353
Name:BRUEHL, HOLLY MARIE (MSN FNP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:MARIE
Last Name:BRUEHL
Suffix:
Gender:F
Credentials:MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4647
Mailing Address - Country:US
Mailing Address - Phone:919-455-6833
Mailing Address - Fax:
Practice Address - Street 1:371 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4647
Practice Address - Country:US
Practice Address - Phone:919-455-6833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20566363LF0000X
NC5004993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily