Individual
HOLLY LINN GONGAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5318 RANALLI DR, GIBSONIA, PA 15044-9653
(724) 449-9355
(724) 449-2727
Mailing address
5318 RANALLI DR, GIBSONIA, PA 15044-9653
(724) 449-9355
(724) 449-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020835
PA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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