Provider Demographics
NPI:1104294305
Name:DEMETRESCU, HOLLY BOYCE (PA)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BOYCE
Last Name:DEMETRESCU
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17 FOXGLOVE WAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2712
Mailing Address - Country:US
Mailing Address - Phone:714-403-6165
Mailing Address - Fax:
Practice Address - Street 1:17 FOXGLOVE WAY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2712
Practice Address - Country:US
Practice Address - Phone:714-403-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical