Individual provider · Type 1 NPI

Ellen Robia Holloway, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1083605026 Active

Practice location

23 Sunnybrook Rd, Suite 220
Raleigh, NC 27610-1855

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-12806 (NC)
Medical Physician Assistant Primary 363AM0700X0010-12806 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1083605026

Ellen Robia Holloway, PA-C's National Provider Identifier is 1083605026, issued on Oct 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Aug 17, 2023.