Individual
MRS. HOLLY MARIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
109 LEROUX ST, DONIPHAN, MO 63935-1038
(573) 996-2136
(573) 996-3105
Mailing address
109 LEROUX ST, DONIPHAN, MO 63935-1038
(573) 996-2136
(573) 996-3105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020035544
MO
Other
Enumeration date
10/22/2020
Last updated
08/27/2021
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