Holly Nicole Hoover, LPN

Individual provider Active NPI Licensed Practical Nurse · Holden, MO

NPI 1003373697 · NPPES record last updated Mar 1, 2019

Key facts

NPI
1003373697
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2016026754 (MO)
Practice address
100 W 2ND St
Holden, MO 64040-1323
Phone
(816) 850-4553
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2016026754MOMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heart in Hands LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2016026754 MO Yes

Addresses

Primary practice location

100 W 2ND St
Holden, MO 64040-1323

Mailing address

100 W 2ND St
Holden, MO 64040-1323
Phone (660) 441-8190

Other names

  • Holly Nicole Worthington Former name

Other providers in Holden, MO

All providers in Holden, MO · Licensed Practical Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.