Provider Demographics
NPI:1962847293
Name:CLINTON, HOLLY BARI HIMMELSTEIN
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:BARI HIMMELSTEIN
Last Name:CLINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:HIMMELSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 GRANBY ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4611
Mailing Address - Country:US
Mailing Address - Phone:828-225-0861
Mailing Address - Fax:828-225-5635
Practice Address - Street 1:76 PEACHTREE ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3505
Practice Address - Country:US
Practice Address - Phone:828-274-3477
Practice Address - Fax:828-274-7407
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC226531163W00000X
NC09875367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse