Provider Demographics
NPI:1558392654
Name:HOLLEY, ROBYN ELIZABETH (CFNP)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:ELIZABETH
Last Name:HOLLEY
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Gender:F
Credentials:CFNP
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Mailing Address - Street 1:1421 LUISA ST
Mailing Address - Street 2:SUITE I
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505
Mailing Address - Country:US
Mailing Address - Phone:505-982-8338
Mailing Address - Fax:505-982-8393
Practice Address - Street 1:1421 LUISA ST
Practice Address - Street 2:SUITE I
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-982-8338
Practice Address - Fax:505-982-8393
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMCNP.02200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner