Individual
AMANDA RAE HOLLORON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 880-9213
Mailing address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 880-9213
(949) 864-3190
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-160743
MT
Other
Enumeration date
08/11/2020
Last updated
12/04/2025
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