Individual provider · Type 1 NPI

Elise Holloway

Gerontology Nurse Practitioner · Patchogue, NY

NPI number 1225845811 Active

Practice location

101 Hospital Rd
Patchogue, NY 11772-4870

Mailing address

58 Sherwood Dr
Mastic Beach, NY 11951-3208

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X311873 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1225845811

Elise Holloway's National Provider Identifier is 1225845811, issued on Dec 17, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Patchogue, NY. The record was last updated on Dec 17, 2024.