Most Relevant Information
Provider Data
| NPI Number: | 1003373697 |
| Provider Name: | HOLLY NICOLE HOOVER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 2016026754 |
Most Important Dates
| Enumeration Date: | 03/01/2019 |
| Last Updated: | 03/01/2019 |
Provider Practice Location
100 W 2ND ST
HOLDEN
MO
640401323
Practice Location Phone/Fax
| Phone: | 8168504553 |
| Fax: |
Provider Mailing Location
100 W 2ND ST
HOLDEN
MO
640401323
Provider Mailing Phone/Fax
| Phone: | 6604418190 |
| Fax: |