SearchIdaho363A00000X

Mary Hollowell

NPI 1699409748 · on the registry since 2022 · sole proprietor

Practice

Address
6051 W Emerald St
Boise, ID 83704
Phone
(208) 302-5150
Fax
(208) 302-5155
Clinicians at this address
58

Additional practice sites

  • 42nd & Emile, Omaha, NE

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho