Individual
AMY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1003 HWY 25 N, BLOOMFIELD, MO 63825
(573) 568-3686
Mailing address
PO BOX 157, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0385738
MO
Other
Enumeration date
11/01/2006
Last updated
10/05/2010
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