Holly Wilds FNP

NPI 1326487414 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1326487414
Gender Female
Enumeration Date 06/21/2013
Last Updated 09/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1200 W 22ND ST
HIGGINSVILLE MO, 64037-1420, US
Phone (660) 584-7751
Fax
Business Location
1200 W 22ND ST
HIGGINSVILLE MO, 64037-1420, US
Phone (660) 584-7751
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 2013019754
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According to our database, Holly Wilds FNP NPI is 1326487414, taxonomy code is 363LF0000X and license number is 2013019754, license state is located at Missouri. Holly Wilds FNP physically located at 1200 W 22nd St, Higginsville MO, 64037-1420. NPI Number Holly Wilds FNP has the Individual type.

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1326487414 NPI number is provided on an as is basis without warranty of any kind. 1326487414 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Wilds FNP are for informational purposes only.