Healthcare Provider Details

I. General information

NPI: 1821005968
Provider Name (Legal Business Name): LAURA ANN HOLLADAY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 E BELL RD STE 139
PHOENIX AZ
85032-2239
US

IV. Provider business mailing address

4045 E BELL RD STE 139
PHOENIX AZ
85032-2239
US

V. Phone/Fax

Practice location:
  • Phone: 602-824-9309
  • Fax: 602-916-1086
Mailing address:
  • Phone: 602-824-9309
  • Fax: 602-916-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9332948
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP010856
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5734
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number761981
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: