TERESA A. HOLLER (NPI# 1528247244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528247244 |
| Entity Type | Individual |
| Full Name | TERESA A. HOLLER |
| Credential | P.A. |
| Practice Address |
4000 Shipyard Blvd Ste 120 Wilmington NC 28403-6194 |
| Practice Telephone | 9104733222 |
| Practice Fax Number | 9107690063 |
| Mailing Telephone | 9104733222 |
| Mailing Fax Number | 9107690063 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002271 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 127 Mcclanahan St Sw, 300, Roanoke, VA 24014 | 5409828204 | 5405271039 |
| Street Address |
4000 SHIPYARD BLVD STE 120 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266235 | Mackenzie Weis Jones | Registered Nurse | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2019-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| 1598836462 | Andrew N. Illobre | Physician Assistant | 6419 Carolina Beach Rd, Suite A, Wilmington, NC 28412-2759 | 2006-11-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on TERESA A. HOLLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.