Provider Demographics
NPI:1891567962
Name:SCHLESINGER, HOLLY PEAVY (NP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:PEAVY
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 W CONGRESS ST STE 2300A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6778
Mailing Address - Country:US
Mailing Address - Phone:337-408-2159
Mailing Address - Fax:337-235-1865
Practice Address - Street 1:4212 W CONGRESS ST STE 2300A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6778
Practice Address - Country:US
Practice Address - Phone:337-408-2159
Practice Address - Fax:337-235-1865
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP232208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily