Individual provider · Type 1 NPI
Gertha Therese Benoit-Hollis, NP-C
Primary Care Nurse Practitioner · Holtsville, NY
NPI number
1679075089
Active
Practice location
5 Fisk Rd
Holtsville, NY 11742
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F308323-1 (NY) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1679075089
Gertha Therese Benoit-Hollis, NP-C's National Provider Identifier is 1679075089, issued on Mar 1, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Holtsville, NY. The record was last updated on May 30, 2018.