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1720525736 NPI number — HOLLY CHRISTINE ROBIN NP-C

NPI Number: 1720525736
Health Care Provider/Practitioner: HOLLY CHRISTINE ROBIN NP-C

Information about “1720525736” NPI (HOLLY CHRISTINE ROBIN NP-C) exists in 1720525736 in HTML format HTML  |  1720525736 in plain Text format TXT  |  1720525736 in PDF (Portable Document Format) PDF  |  1720525736 in an XML format XML  formats.

NPI Number : 1720525736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720525736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBIN",
    "FirstName": "HOLLY",
    "MiddleName": "CHRISTINE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALKER",
    "OtherFirstName": "HOLLY",
    "OtherMiddleName": "CHRISTINE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "NP-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2521 GLENN HENDREN DR STE 306",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIBERTY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64068-3388",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-415-5430",
    "MailingAddressFaxNumber": "913-632-9444",
    "FirstLinePracticeLocationAddress": "2521 GLENN HENDREN DR STE 306",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIBERTY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64068",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-407-5430",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2017",
    "LastUpdateDate": "06/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "53-79929",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "2017002566",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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