MRS. AUDREY WILLETTE HOLLAR (NPI# 1689746893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689746893 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY WILLETTE HOLLAR |
| Credential | RN,CLNC |
| Practice Address |
158 Front Royal Pike Ste 200 Winchester VA 22602-4324 |
| Mailing Address |
117 Likens Way Winchester VA 22602-7636 |
| Practice Telephone | 5406672809 |
| Practice Fax Number | 5406789518 |
| Mailing Telephone | 5407230280 |
| Mailing Fax Number | 5407236698 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
0001117631 | VA | Nursing Service Providers |
| Street Address |
158 FRONT ROYAL PIKE STE 200 |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447267174 | Robin Renee Hockman | Social Worker | 158 Front Royal Pike Ste 200, Winchester, VA 22602-4324 | 2006-08-02 |
| 1205349750 | Susan Witt | Pharmacist | 158 Front Royal Pike Ste 200, Winchester, VA 22602-4324 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1114399243 | Guardianlight of Northwestern Va Incorporated | Home Health | 3343 Valley Ave, Unit # 700, Winchester, VA 22602 | 2015-10-28 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| Find all providers in zip 22602 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469196 | Nicole Noelle Alabre | Registered Nurse | 15 Governors Ave Unit 1, Winchester, MA 01890-2022 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778709 | Tanisha Nicole Kane | Registered Nurse | 5312 Jennifer Pond Way, Richmond, VA 23223-5852 | 2020-07-23 |
| 1104455823 | Rachel Ruffin Ashley | Registered Nurse | 8342 Silkwood Ct, Mechanicsville, VA 23116-1894 | 2020-04-04 |
| 1164059242 | Philip Yamoah Bandoh | Registered Nurse | 6911 Richmond Hwy Unit 324b, Alexandria, VA 22306-1842 | 2020-03-26 |
| 1205461498 | Jennifer Lynn Breseman | Registered Nurse | 11157 Saffold Way, Reston, VA 20190-3822 | 2020-03-08 |
| 1790310035 | Janet Conrad | Registered Nurse | 3438 Mount Burnside Way, Woodbridge, VA 22192-1013 | 2020-03-06 |
| 1790347714 | Jennifer E Price | Registered Nurse | 1800 N Beauregard St Ste 101, Alexandria, VA 22311-1726 | 2019-06-29 |
| 1467012765 | Mary A. Martin | Registered Nurse | 311 Jacks Pl, Newport News, VA 23608-1292 | 2019-06-18 |
| 1104399088 | Frances Loretta Remines | Registered Nurse | 675 Ben Bow Rd, Tazewell, VA 24651-9190 | 2019-01-03 |
| 1114418183 | Shenika Cherelle Smith | Registered Nurse | 900 Granby St Ste 231, Norfolk, VA 23510-2568 | 2018-05-24 |
| 1366958506 | Whitney Ania Armand | Registered Nurse | 301 Monticello Mews Apt 204, Hampton, VA 23666-2786 | 2017-12-26 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
Please comment or provide details below to improve the information on MRS. AUDREY WILLETTE HOLLAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.