Provider Demographics
NPI:1154478071
Name:PRESSBURG, HOLLY LYN (NP)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:LYN
Last Name:PRESSBURG
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:167 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4021
Mailing Address - Country:US
Mailing Address - Phone:562-428-7710
Mailing Address - Fax:310-517-4092
Practice Address - Street 1:1050 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3509
Practice Address - Country:US
Practice Address - Phone:310-517-3365
Practice Address - Fax:310-517-4092
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAV319098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP20770Medicare UPIN