Stayton, Holli
Stayton, Holli is an individual health care provider with primary practice located at 9 Ogden St Roosevelt School Based Clinic, Binghamton NY 13901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stayton, Holli can be contacted via phone (607) 762-6000.Contact Information
Primary practice address
9 Ogden St Roosevelt School Based Clinic
Binghamton NY 13901
Phone: (607) 762-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 333114 | New York |
Profile Details
| NPI number | 1518904614 |
|---|---|
| LBN Legal business name | Stayton, Holli |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Oct 22nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518904614 | NPPES |
| New York | MEDICAID | 02328765 |
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