Individual
MRS. MICA KRISTIN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1611 MAIN ST STE 101, WOODWARD, OK 73801
(580) 254-8669
(580) 254-8026
Mailing address
1611 MAIN ST STE 101, WOODWARD, OK 73801-3064
(580) 254-8669
(580) 254-8026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106039
OK
Other
Enumeration date
05/14/2019
Last updated
05/09/2023
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