person
Nicelee Fall Hollenback, NPP
Psychiatric/Mental Health Nurse Practitioner in Ithaca, New York
NPI 1801172614

Nicelee Fall Hollenback is a Psychiatric/Mental Health Nurse Practitioner based in Freeville, NY and is specialized in Psychiatric/Mental Health. Nicelee Fall Hollenback practices in Ithaca, NY and has the professional credentials of NPP. The NPI Number for Nicelee Fall Hollenback is 1801172614 and holds a License No. 401500 (New York).

The current practice location address for Nicelee Fall Hollenback is 950 Danby Rd Ste 202A, Ithaca, NY and can be reached out via phone at 607-342-5728 and via fax at 607-238-4687. You can also correspond with Nicelee Fall Hollenback through the mailing address at 28 GOODBAND RD, FREEVILLE, NY - 13068-9651 (mailing address contact number: 607-342-5728).

Location: 950 Danby Rd Ste 202A, Ithaca, NY, 13068-9651
person
Provider Profile Details
NPI Number
1801172614
Provider Name
Nicelee Fall Hollenback
Credential
NPP
Provider Entity Type
Individual
Gender
Female
Address
950 Danby Rd Ste 202A, Ithaca, NY, 13068-9651
Phone Number
607-342-5728
Fax Number
607-238-4687
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
401500 01 NY NPP
5344741 01 NY NY STATE RNP LICENSE
institution
Provider Business Practice Location Address Details
Address
950 Danby Rd Ste 202A
City
State
Zip
14850-5714
Phone Number
607-342-5728
Fax Number
607-238-4687
person
Provider Business Mailing Address Details
Address
28 Goodband Rd
City
State
Zip
13068-9651
Phone Number
607-342-5728
Fax Number
607-238-4687
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
401500 (New York)
Definition
Definition to come...
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