Healthcare Provider Details

I. General information

NPI: 1922202779
Provider Name (Legal Business Name): HOLLY S HEALY CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY S BATENIC CFNP

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 15TH ST
SAN FRANCISCO CA
94103-3623
US

IV. Provider business mailing address

1001 CRESCENT GRN
CARY NC
27518-8101
US

V. Phone/Fax

Practice location:
  • Phone: 973-270-3396
  • Fax:
Mailing address:
  • Phone: 919-235-3042
  • Fax: 919-235-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038217
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704431328
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235428
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: