Provider Demographics
NPI:1922202779
Name:HEALY, HOLLY S (CFNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:S
Last Name:HEALY
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:S
Other - Last Name:BATENIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:1001 CRESCENT GRN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8101
Mailing Address - Country:US
Mailing Address - Phone:919-235-3042
Mailing Address - Fax:919-235-3094
Practice Address - Street 1:1001 CRESCENT GRN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8101
Practice Address - Country:US
Practice Address - Phone:919-235-3042
Practice Address - Fax:919-235-3094
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily