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NPI Code Detail

MEDICARE: MRS. ANNA C HOLLIDAY MSN, CFNP

MEDICARE: MRS. ANNA C HOLLIDAY MSN, CFNP
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 PractitionerAPRN11044719FL
2363LF0000XFamily Nurse Practitioner5024049NC
3363LF0000XFamily Nurse Practitioner62221WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162221OTHERWVWV LICENSE

General Provider Information

NPI Number : 1851539746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA C HOLLIDAY MSN, CFNP
Provider Business Mailing Address
First Line : 3100 MACCORKLE AVE SE
Second Line : STE 604
City : CHARLESTON
State : WV
Zip : 25304-1231
Country : US
Telephone Number : 304-526-2053
Fax Number : 304-526-2547
Provider Business Practice Location Address
First Line : 1340 HAL GREER BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3800
Country : US
Telephone Number : 304-526-2053
Fax Number : 304-526-2547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2009
Last Update Date : 03/09/2026

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