Provider Demographics
NPI:1215727565
Name:CONTE, HOLLEY (APRN)
Entity type:Individual
Prefix:
First Name:HOLLEY
Middle Name:
Last Name:CONTE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14720 PAR CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2730
Mailing Address - Country:US
Mailing Address - Phone:813-382-7088
Mailing Address - Fax:
Practice Address - Street 1:14720 PAR CLUB CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2730
Practice Address - Country:US
Practice Address - Phone:813-382-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily