Provider Demographics
NPI:1194712844
Name:HOLLIES, DONDRIA RACHELLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:DONDRIA
Middle Name:RACHELLE
Last Name:HOLLIES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 MILAN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6729
Mailing Address - Country:US
Mailing Address - Phone:504-465-3684
Mailing Address - Fax:
Practice Address - Street 1:4018 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2749
Practice Address - Country:US
Practice Address - Phone:504-897-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI992363LF0000X
HI56249163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator