National Provider Identifier

Joanna Renea Holloway, LPN

Joanna Renea Holloway, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Greece, NY and a listed phone number of (585) 621-2446.

NPI 1114115284Greece, NYLicensed Practical Nurse

Profile Overview

NPI
1114115284
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 13, 2007
Last Updated
October 13, 2007

Practice Location

  • 600 Island Cottage RD
  • Greece, NY 14612-2300

Phone: (585) 621-2446

Mailing Address

  • 186 Virginia Ave
  • Rochester, NY 14619-2325

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114115284
Entity Type
Individual
Last Name
Holloway
First Name
Joanna
Middle Name
Renea
Credential
LPN
Mailing Street Address
186 Virginia Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2325
Mailing Country
US
Mailing Phone
(585) 279-0209
Practice Street Address
600 Island Cottage RD
Practice City
Greece
Practice State
NY
Practice ZIP Code
14612-2300
Practice Country
US
Practice Phone
(585) 621-2446
Enumeration Date
October 13, 2007
Last Updated
October 13, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02418904 (NY)