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Contact Information

HOLLY PROKOP, CHW
1753 HWY 119
ANTON CHICO, NM87711
 Phone: 575-472-8032
 Fax: 877-651-0289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for HOLLY PROKOP · (Female)

NPI # 1336012442
Status Active
Credentials CHW
Entity Individual
Enumeration date 09/25/2025
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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