Provider Demographics
NPI:1780981852
Name:HOLSEY, PAULA EUNAE (LPN)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:EUNAE
Last Name:HOLSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 ARBOR MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1761
Mailing Address - Country:US
Mailing Address - Phone:609-420-4738
Mailing Address - Fax:856-885-8359
Practice Address - Street 1:57 ARBOR MEADOW DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1761
Practice Address - Country:US
Practice Address - Phone:609-420-4738
Practice Address - Fax:856-885-8359
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NPO4597200164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse