Provider Demographics
NPI:1548499056
Name:STANGER, HOLLY J (FNP)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:J
Last Name:STANGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4924
Mailing Address - Country:US
Mailing Address - Phone:512-459-4405
Mailing Address - Fax:888-328-2718
Practice Address - Street 1:1010 W 9TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4924
Practice Address - Country:US
Practice Address - Phone:512-459-4405
Practice Address - Fax:888-328-2718
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily