Harris, Holley R

Harris, Holley R is an individual health care provider with primary practice located at 351 Delnor Dr , Geneva IL 60134-4220. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Harris, Holley R can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
351 Delnor Dr Geneva IL 60134-4220
Phone: (630) 232-0280
Fax: (630) 232-3895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010766 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.010766 Illinois

Profile Details

NPI number 1437586583
LBN Legal business name Harris, Holley R
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2013
Last updated Sep 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437586583 NPPES
Illinois Other 206147 MEDICARE GROUP PTAN
Illinois Other F400439285 MEDICARE GROUP PTAN

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