National Provider Identifier
Nicelee Fall Hollenback, NPP
Nicelee Fall Hollenback, NPP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 342-5728.
Profile Overview
- NPI
- 1801172614
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- October 25, 2011
- Last Updated
- September 21, 2023
Practice Location
- 950 Danby RD Ste 202A
- Ithaca, NY 14850-5714
Phone: (607) 342-5728
Mailing Address
- 28 Goodband RD
- Freeville, NY 13068-9651
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1801172614
- Entity Type
- Individual
- Last Name
- Hollenback
- First Name
- Nicelee
- Middle Name
- Fall
- Credential
- NPP
- Mailing Street Address
- 28 Goodband RD
- Mailing City
- Freeville
- Mailing State
- NY
- Mailing ZIP Code
- 13068-9651
- Mailing Country
- US
- Mailing Phone
- (607) 342-5728
- Mailing Fax
- (607) 238-4687
- Practice Street Address
- 950 Danby RD Ste 202A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5714
- Practice Country
- US
- Practice Phone
- (607) 342-5728
- Practice Fax
- (607) 238-4687
- Enumeration Date
- October 25, 2011
- Last Updated
- September 21, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Other Identifiers
- 401500 (NY, Npp), 5344741 (NY, Ny State Rnp License)