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Holly Linn Gongaware, CRNP

Nurse Practitioner in Gibsonia, PA. Individual provider (NPI-1).

NPI number1982245965
StatusActive
Last updated in NPPESOct 1, 2019

Details

NPI
1982245965
Entity type
Individual (NPI-1)
Name
Holly Linn Gongaware
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2019
Last updated
Oct 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP020835PAYes

Practice location

5318 Ranalli Dr
Gibsonia, PA 15044-9653

Phone 724-449-9355 · Fax 724-449-2727

Mailing address

5318 Ranalli Dr
Gibsonia, PA 15044-9653

Phone 724-449-9355 · Fax 724-449-2727

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