Healthcare Provider Details

I. General information

NPI: 1427034909
Provider Name (Legal Business Name): HOLLY L KORICA WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY KORICA

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 S HIGLEY RD
GILBERT AZ
85296-4771
US

IV. Provider business mailing address

2702 NORTH 3RD STREET SUITE 4020
PHOENIX AZ
85004-4608
US

V. Phone/Fax

Practice location:
  • Phone: 489-257-2700
  • Fax: 480-257-2701
Mailing address:
  • Phone: 602-323-3344
  • Fax: 602-323-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN075083
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP7040
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP0241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: