Holly L Proulx

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306296 Issued in NY

Practice address

1050 W Genesee St
Syracuse, NY 13204-2215

Phone

(315) 424-3744

Fax

(315) 424-3745

NPI assigned

Apr 27, 2012

Last updated

Apr 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1043578081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042215",
            "telephone_number": "315-424-3744",
            "fax_number": "315-424-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042215",
            "telephone_number": "315-424-3744",
            "fax_number": "315-424-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROULX",
        "first_name": "HOLLY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyson Marie Prunier, NP
• Maggie Prusinowski
• Paul E Pry, MSN, RN, NP
• Vasyl Pryshliak, MD
• Morgan Przekop, LMHC

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.