HOLLY RIVERS NP NPI 1336516533

NPI Information

NPI: 1336516533
Provider Name: HOLLY RIVERS, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2520 BERT KOUNS INDUSTRIAL LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5520
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Holly Rivers, NP is a pediatrics nurse practitioner in Shreveport, LA. Holly Rivers, NP NPI is 1336516533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2520 BERT KOUNS INDUSTRIAL LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71118-130
Phone: (318) 212-5520
Fax: (318) 212-5540

The NPI 1336516533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 8/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP08449	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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