Individual
ELEANOR L HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(928) 848-3116
(602) 470-5064
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506561
—
AZ
Enumeration date
11/01/2006
Last updated
12/09/2019
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