Provider Demographics
NPI:1972832038
Name:MORRIS, HOLLY H (PA-C)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:H
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:111 NEW HAMPSHIRE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2864
Mailing Address - Country:US
Mailing Address - Phone:802-909-2053
Mailing Address - Fax:
Practice Address - Street 1:71 US ROUTE 1 STE J
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7168
Practice Address - Country:US
Practice Address - Phone:207-770-5621
Practice Address - Fax:207-203-4875
Is Sole Proprietor?:No
Enumeration Date:2009-12-18
Last Update Date:2024-01-31
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Provider Licenses
StateLicense IDTaxonomies
MEPA2094363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant