Individual provider · Type 1 NPI

Mariah Holloway, FNP

Nurse Practitioner · Peoria, IL

NPI number 1154082907 Active

Practice location

2426 W Cornerstone Ct Ste 100
Peoria, IL 61614-2400

Call (309) 966-3137 Map

Mailing address

232 W Pine St
Canton, IL 61520-2435

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209024007 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154082907

Mariah Holloway, FNP's National Provider Identifier is 1154082907, issued on Jan 4, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Jan 4, 2022.