Provider Demographics
NPI:1073006870
Name:COCCIA, HOLLY JO (FNP-C)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:JO
Last Name:COCCIA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 PITTSBURGH MCKEESPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2849
Mailing Address - Country:US
Mailing Address - Phone:412-476-6146
Mailing Address - Fax:
Practice Address - Street 1:814 PITTSBURGH MCKEESPORT BLVD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2849
Practice Address - Country:US
Practice Address - Phone:412-476-6146
Practice Address - Fax:412-476-6466
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP005770B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily