Provider Demographics
NPI:1528634318
Name:CARLISLE, HOLLIE BETH (CLD)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:BETH
Last Name:CARLISLE
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2273 ESTATE CIR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2837
Mailing Address - Country:US
Mailing Address - Phone:575-749-7573
Mailing Address - Fax:
Practice Address - Street 1:9511 HOLSBERRY RD STE B8
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1320
Practice Address - Country:US
Practice Address - Phone:850-324-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula