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NPI Code Detail

MEDICARE: MRS. REBECCA ELIZABETH HOLT APRN

MEDICARE: MRS. REBECCA ELIZABETH HOLT APRN
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 Practitioner2019023508MO

General Provider Information

NPI Number : 1801435052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ELIZABETH HOLT APRN
Provider Business Mailing Address
First Line : 20 NE SAINT LUKES BLVD STE 330
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6001
Country : US
Telephone Number : 816-347-4420
Fax Number : 816-347-4421
Provider Business Practice Location Address
First Line : 20 NE SAINT LUKES BLVD STE 330
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6001
Country : US
Telephone Number : 816-347-4420
Fax Number : 816-347-4421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2020
Last Update Date : 03/18/2026

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