Individual
MRS. MICA KRISTIN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
607 S. ELM ST., MOORELAND, OK 73852
(580) 440-0311
Mailing address
607 S. ELM ST., MOORELAND, OK 73852
(580) 440-0311
(405) 888-8744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106039
OK
Other
Enumeration date
05/14/2019
Last updated
07/13/2026
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