Provider Demographics
NPI:1215695325
Name:HOLLINGSWORTH, ELIZABETH HOPE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOPE
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2931
Mailing Address - Country:US
Mailing Address - Phone:540-588-9619
Mailing Address - Fax:
Practice Address - Street 1:55 E GALENA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1703
Practice Address - Country:US
Practice Address - Phone:540-588-9619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-216954363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health