Organization
HOLDEN FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY LOUISE ADAMS APRN (OWNER/NURSE PRACTITIONER)
(816) 732-6010
Entity
Organization
Contact information
Practice address
612 E 10TH ST, HOLDEN, MO 64040-9421
(816) 732-6010
(816) 732-6011
Mailing address
612 E 10TH ST, HOLDEN, MO 64040-9421
(816) 732-6010
(816) 732-6011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
076670
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA5572
MEDICARE PTAN
MO
Enumeration date
02/17/2016
Last updated
02/17/2016
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