Provider Demographics
NPI:1225112618
Name:HELLER, HOLLY BAKER (APNC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BAKER
Last Name:HELLER
Suffix:
Gender:F
Credentials:APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PENNINGTON RD
Mailing Address - Street 2:EICKHOFF HALL 107
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-0718
Mailing Address - Country:US
Mailing Address - Phone:609-771-2483
Mailing Address - Fax:
Practice Address - Street 1:2000 PENNINGTON RD
Practice Address - Street 2:EICKHOFF HALL ROOM 107
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-0718
Practice Address - Country:US
Practice Address - Phone:609-771-2889
Practice Address - Fax:609-637-5131
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN92016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily