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NPI Code Detail

MEDICARE: EMILY E HOLLADAY NP

MEDICARE: EMILY E HOLLADAY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2020003114MO

General Provider Information

NPI Number : 1356904908
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY E HOLLADAY NP
Provider Business Mailing Address
First Line : SAINT LUKE'S PAYOR ENROLLMENT
Second Line : 901 E 104TH ST., MAILSTOP 400S
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 816-599-9499
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 600 NE ADAMS DAIRY PKWY
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64014-5493
Country : US
Telephone Number : 816-251-6100
Fax Number : 816-347-4695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 07/13/2020

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