Provider Demographics
NPI:1295280758
Name:HOLSOPPLE, CATHERINE ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:HOLSOPPLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANNE
Other - Last Name:GOETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1095 MILLION DOLLAR HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-2743
Mailing Address - Country:US
Mailing Address - Phone:814-335-4329
Mailing Address - Fax:
Practice Address - Street 1:1095 MILLION DOLLAR HWY
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-2743
Practice Address - Country:US
Practice Address - Phone:814-335-4329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058321363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant