IndividualActive
Betty Holloway, RD
NPI 1750657128 · Nutritionist · Sussex, WI
Provider details
- NPI number
- 1750657128
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 2208 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
N57w24950 N Corporate Cir
Prohealth Care Medical Associates Inc.
Sussex, WI 53089-4383
Phone: (262) 820-3093
Fax: (262) 532-9598
Approximate (ZIP-level) locationGet directions
Mailing address
N57w24950 N Corporate Cir
Sussex, WI 53089-4383
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.