Provider Demographics
NPI:1255678330
Name:EMLER, HOLLY (LPN)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:EMLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 STOWELL DR
Mailing Address - Street 2:APT. 6
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-1847
Mailing Address - Country:US
Mailing Address - Phone:585-225-6434
Mailing Address - Fax:
Practice Address - Street 1:873 STOWELL DR
Practice Address - Street 2:APT. 6
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-1847
Practice Address - Country:US
Practice Address - Phone:585-225-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287393164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse