Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elise Holloway

Individual provider Gerontology Nurse Practitioner · NPI 1225845811

Elise Holloway is a Gerontology Nurse Practitioner in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (516) 242-1851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 311873 (NY)

Record details

NPI number1225845811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address58 Sherwood Dr, Mastic Beach, NY 11951-3208