HOLLY ANN MADDOX (NPI# 1760950331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760950331 |
| Entity Type | Individual |
| Full Name | HOLLY ANN MADDOX |
| Credential | AGPCNP-BC |
| Practice Address |
110 Kingsley Ln Ste 312 Norfolk VA 23505-4618 |
| Practice Telephone | 7573542885 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024176838 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024176838 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 KINGSLEY LN STE 312 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801864566 | Harvey Bercowitz | Emergency Medicine | 110 Kingsley Ln Ste 312, Norfolk, VA 23505-4618 | 2006-03-09 |
| 1245704766 | Monique Chinyere Nwala | Physician Assistant | 110 Kingsley Ln Ste 312, Norfolk, VA 23505-4618 | 2019-01-17 |
| 1417448796 | Iena A Rodriguez | Nurse Practitioner | 110 Kingsley Ln Ste 312, Norfolk, VA 23505-4618 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
| 1558617381 | Rhonda S Pettitt | Nurse Practitioner | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2012-07-30 |
| 1528551728 | Joanne Emilia Sproule | Nurse Practitioner | 400 Gresham Drive, Suite 303, Norfolk, VA 23507-1901 | 2018-06-12 |
| 1164943668 | Christine L Howell | Nurse Practitioner | 885 Kempsville Rd Ste 320, Norfolk, VA 23502-3800 | 2017-07-05 |
| 1043616741 | Juanita Marie Norwood | Nurse Practitioner | 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 | 2014-11-07 |
| 1033463476 | Jennifer A Kiggans | Nurse Practitioner | 825 Fairfax Ave Ste 201, Norfolk, VA 23507 | 2012-11-07 |
| 1982987301 | Sarah Kimberly Kosinski | Nurse Practitioner | 110 Kingsley Ln, Suite 312, Norfolk, VA 23505 | 2011-09-21 |
| 1861706756 | Jean M Suehl | Nurse Practitioner | 1414 N 13th St, Norfolk, NE 68701-2669 | 2010-08-03 |
| 1912068875 | Carol Gerarda La Fauci | Nurse Practitioner | 1500 E Little Creek Rd, Suite 205, Norfolk, VA 23518-4137 | 2006-12-13 |
| 1932174067 | Margaret M Garcia-garrett | Nurse Practitioner | 825 Fairfax Ave, Suite 201, Norfolk, VA 23507-1914 | 2006-02-22 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on HOLLY ANN MADDOX.
| 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.