Healthcare Provider Details

I. General information

NPI: 1285571646
Provider Name (Legal Business Name): HOLLY BOOKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27346 E JAMISON CIR
AURORA CO
80016-2550
US

IV. Provider business mailing address

27346 E JAMISON CIR
AURORA CO
80016-2550
US

V. Phone/Fax

Practice location:
  • Phone: 303-981-7677
  • Fax:
Mailing address:
  • Phone: 303-981-7677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.0179870
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: