Provider Demographics
NPI:1659756229
Name:WILLEY, HOLLY N (APRN-FNP/BC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:N
Last Name:WILLEY
Suffix:
Gender:F
Credentials:APRN-FNP/BC
Other - Prefix:
Other - First Name:H
Other - Middle Name:NOEL
Other - Last Name:WARREN WILLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-FNP/BC
Mailing Address - Street 1:34434 KING STREET ROW SUITE 2
Mailing Address - Street 2:DELAWARE NEUROLOGY ASSOCIATES
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4787
Mailing Address - Country:US
Mailing Address - Phone:302-644-8880
Mailing Address - Fax:302-644-8882
Practice Address - Street 1:34434 KING STREET ROW SUITE 2
Practice Address - Street 2:DELAWARE NEUROLOGY ASSOCIATES
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4787
Practice Address - Country:US
Practice Address - Phone:302-644-8880
Practice Address - Fax:302-644-8882
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE447528YFYFMedicare UPIN
DE363L00000XMedicaid