Provider Demographics
NPI:1366102667
Name:HOWELL, HOLLY M (CRNP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LIGONIER ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1847
Mailing Address - Country:US
Mailing Address - Phone:724-537-0733
Mailing Address - Fax:724-537-0860
Practice Address - Street 1:1010 LIGONIER ST STE 1
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1847
Practice Address - Country:US
Practice Address - Phone:724-537-0733
Practice Address - Fax:724-537-0860
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily