MS. ISAKE LOCKETT HOLLOWAY RN FNP NPI 1437474376

NPI Information

NPI: 1437474376
Provider Name: MS. ISAKE LOCKETT HOLLOWAY, RN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12900 PARK PLAZA DR STE 150
CERRITOS, CA
ZIP 90703
Phone: (866) 646-3553
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MS. Isake Lockett Holloway, RN, FNP is a family nurse practitioner in Cerritos, CA. MS. Isake Lockett Holloway, RN, FNP NPI is 1437474376. 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:

12900 PARK PLAZA DR STE 150
CERRITOS, CA
ZIP 90703-329
Phone: (866) 646-3553

The NPI 1437474376 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 4/4/2010 and was last updated on 1/23/2023.

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	163W00000X	Registered Nurse		771653	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95009302	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	NP95009302	CALIFORNIA	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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