Healthcare Provider Details

I. General information

NPI: 1548234529
Provider Name (Legal Business Name): HOLLY RASMUSSEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 NELSON HWY STE 100
CHAPEL HILL NC
27517-8914
US

IV. Provider business mailing address

2238 NELSON HWY STE 100
CHAPEL HILL NC
27517-8914
US

V. Phone/Fax

Practice location:
  • Phone: 919-401-1994
  • Fax: 919-401-1924
Mailing address:
  • Phone: 919-401-1994
  • Fax: 919-401-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-10372
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA 00886
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-10372
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: