Holly Portillo, NP
Nurse Practitioner, Adult Health in Rosebud, TX. Individual provider (NPI-1).
NPI number1063814101
StatusActive
Last updated in NPPESJan 17, 2019
Details
- NPI
- 1063814101
- Entity type
- Individual (NPI-1)
- Name
- Holly Portillo
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2014
- Last updated
- Jan 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP126462 | TX | Yes |
Practice location
894 Us Highway 77Rosebud, TX 76570
Phone 254-721-2563 · Fax 254-583-7829
Mailing address
894 Us Highway 77Rosebud, TX 76570-3325
Phone 254-721-2563 · Fax 254-583-7829
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