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NPI Code Detail

MEDICARE: COURTNEY MARIE HOLLEY PA-C

MEDICARE: COURTNEY MARIE HOLLEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA065896PA

General Provider Information

NPI Number : 1013743665
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MARIE HOLLEY PA-C
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-9800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 PARAMOUNT BLVD
Second Line :
City : ORWIGSBURG
State : PA
Zip : 17961-2202
Country : US
Telephone Number : 866-785-8537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 04/07/2026

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Directions to “ COURTNEY MARIE HOLLEY PA-C” Practice Location

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