Individual
MRS. RENEE KATHLEEN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003
Mailing address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002132A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20088850
—
IN
01
—
P00689114
RAILROAD MEDICARE
—
Enumeration date
12/21/2007
Last updated
03/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us