Provider Demographics
NPI:1376044750
Name:HOLLADAY, ELIZABETH LAUREN (PA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LAUREN
Last Name:HOLLADAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:LAUREN
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:137 EQUESTRIAN DR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-2150
Mailing Address - Country:US
Mailing Address - Phone:717-405-6302
Mailing Address - Fax:
Practice Address - Street 1:33674 OLD VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3704
Practice Address - Country:US
Practice Address - Phone:540-465-3751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110006105363A00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine