Kockler, Holly Demarest

Kockler, Holly Demarest is an individual health care provider with primary practice located at 1141 N. Road St., Ste K Carolina Coastal Plastic Surgery, Elizabeth City NC 27909. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kockler, Holly Demarest can be contacted via phone (252) 335-2293.

Contact Information

Primary practice address
1141 N. Road St., Ste K Carolina Coastal Plastic Surgery Elizabeth City NC 27909
Phone: (252) 335-2293
Fax: (252) 331-2387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 082463 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200736 North Carolina

Profile Details

NPI number 1245322981
LBN Legal business name Kockler, Holly Demarest
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 22nd, 2016 - about 8 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 1245322981 NPPES
North Carolina Other 200736 NCBOM NP PRACTICE NUMBER
North Carolina Other 082463 NCBOM NP PRACTICE NUMBER
North Carolina MEDICAID ZF0000131 NCBOM NP PRACTICE NUMBER

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