Doctor Name: | MRS. HOLLY BAKER HELLER |
NPI Number: | 1225112618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNC |
License Number: | NN92016 |
Business Practice Address: | 2000 Pennington Rd Eickhoff Hall Room 107 Ewing, NJ - 086280718 |
Business Phone Number: | 6097712889 |
Business Fax Number: | 6096375131 |
Mailing Address: | 2000 Pennington Rd, Eickhoff Hall 107 EWING |
State: | NJ |
Postal Code: | 086280718 |
Phone Number: | 6097712483 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NN92016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |