Melissa L Holloway, RN
Individual provider Active NPI Registered Nurse · Cameron, MO
NPI 1891506291 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1891506291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704268790 (MI)
- Practice address
- 6777 NW Stone Creek Rd
Cameron, MO 64429-2595 - Phone
- (816) 724-3594
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704268790 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704268790 | MI | Yes |
Addresses
Primary practice location
6777 NW Stone Creek Rd
Cameron, MO 64429-2595
Mailing address
6777 NW Stone Creek Rd
Cameron, MO 64429-2595
Phone (816) 724-3594
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.