| Holly Mansur, Fnp | |
|
3202 S Willis St Abilene TX 79605-6650 | |
| (325) 695-3233 | |
| Not Available |
| Full Name | Holly Mansur, Fnp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3202 S Willis St, Abilene, Texas |
| Authorized Official Name and Position | Holly Mansur (OWNER/FNP) |
| Authorized Official Contact | 3256953233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Mansur, Fnp 4525 Crosley Ln Abilene TX 79606-4933 Ph: (858) 784-1711 | Holly Mansur, Fnp 3202 S Willis St Abilene TX 79605-6650 Ph: (325) 695-3233 |
| NPI Number | 1477366607 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 8628584141 |
|---|---|
| Medicare Enrollment ID | O20250722002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477366607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Holly M Mansur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982113874 PECOS PAC ID: 5698186906 Enrollment ID: I20201117002739 |
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