Provider Demographics
NPI:1649169343
Name:BLAZOWICH, HOLLY RENE (RN)
Entity type:Individual
Prefix:MISS
First Name:HOLLY
Middle Name:RENE
Last Name:BLAZOWICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 S GREENGATE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6393
Mailing Address - Country:US
Mailing Address - Phone:724-757-1816
Mailing Address - Fax:
Practice Address - Street 1:292 S GREENGATE RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6393
Practice Address - Country:US
Practice Address - Phone:724-757-1816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN804582163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse