Nicelee Fall Hollenback, NPP
Nicelee Fall Hollenback, NPP is a Nurse Practitioner in Ithaca, New York. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 14
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
950 Danby Rd Ste 202AIthaca, NY 14850-5714
Phone: (607) 342-5728
Fax: (607) 238-4687
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 401500 (NY) |
|---|
Record details
| NPI number | 1801172614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NPP |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2011 |
| Last updated in NPPES | September 21, 2023 |
| Certification date | September 21, 2023 |
| Mailing address | 28 Goodband Rd, Freeville, NY 13068-9651 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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