Individual
MRS. HOLLY NOEL ATTERBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1600
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015016923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760862551
—
MO
01
—
26-8535
MEDICARE OSCAR
MO
01
—
26-8630
MEDICARE OSCAR
MO
01
—
26D0679044
CLIA - LFC
MO
01
—
26D0889777
CLIA - MOB
MO
Enumeration date
06/05/2015
Last updated
04/17/2026
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