Provider Demographics
NPI:1013155266
Name:SOLNICK, HOLLY LORRAINE (NP)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:LORRAINE
Last Name:SOLNICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:HOLLY
Other - Middle Name:LORRAINE
Other - Last Name:COLLISHAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1340 GAUSE BLVD W
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-5764
Mailing Address - Country:US
Mailing Address - Phone:985-781-7577
Mailing Address - Fax:985-781-7579
Practice Address - Street 1:1340 GAUSE BLVD., W
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-5764
Practice Address - Country:US
Practice Address - Phone:985-781-7577
Practice Address - Fax:985-781-7579
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN096747 APO5653363LF0000X
LARN096747 APO5653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily