Healthcare Provider Details

I. General information

NPI: 1497447866
Provider Name (Legal Business Name): LINDA HOLLYMAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9980 PARK MEADOWS DR STE 100
LONE TREE CO
80124-8404
US

IV. Provider business mailing address

9980 PARK MEADOWS DR STE 100
LONE TREE CO
80124-8404
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-9024
  • Fax: 303-715-5020
Mailing address:
  • Phone: 303-715-9024
  • Fax: 303-715-5020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998697-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: