Individual
HOLLY J PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
(612) 873-1928
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(763) 873-3000
(612) 873-1928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1024632
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
2388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-12534
MEDICA
MN
05
—
311542900
—
MN
01
—
9D455PI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/18/2006
Last updated
10/16/2023
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