Provider Demographics
NPI:1043508633
Name:HOLLER, ELIZABETH ASHELY MARGARET (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ASHELY MARGARET
Last Name:HOLLER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10950 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8852
Mailing Address - Country:US
Mailing Address - Phone:919-425-3185
Mailing Address - Fax:
Practice Address - Street 1:10950 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8852
Practice Address - Country:US
Practice Address - Phone:919-425-3185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-16
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC001002943363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical