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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 311873 (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.