Individual provider · Type 1 NPI

Amanda Rae Holloron, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Missoula, MT

NPI number 1710598073 Active

Practice location

2620 Connery Way
Missoula, MT 59808-1325

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNUR-APRN-LIC-160743 (MT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1710598073

Amanda Rae Holloron, PMHNP-BC's National Provider Identifier is 1710598073, issued on Aug 11, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Missoula, MT. The record was last updated on Dec 4, 2025.