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NPI Code Detail

MEDICARE: MORGAN HOLOMY

MEDICARE: MORGAN HOLOMY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner28264919AIN

General Provider Information

NPI Number : 1578413365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN HOLOMY
Provider Business Mailing Address
First Line : 85 E US HIGHWAY 6
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-8947
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 E US HIGHWAY 6
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-8947
Country : US
Telephone Number : 219-983-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “ MORGAN HOLOMY ” Practice Location

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