Individual
LATRECE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 462-7612
Mailing address
3338 S NORWOOD AVE, INDEPENDENCE, MO 64052-2724
(816) 462-7612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010038006
MO
363LF0000X
Family Nurse Practitioner
Primary
2016012516
MO
Other
Enumeration date
12/28/2015
Last updated
04/20/2026
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