Individual provider · Type 1 NPI

Latrece Holloway, FNP

Family Nurse Practitioner · Independence, MO

NPI number 1770948234 Active

Practice location

19600 E 39th St S
Independence, MO 64057-2301

Mailing address

3338 S Norwood Ave
Independence, MO 64052-2724

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2010038006 (MO)
Family Nurse Practitioner Primary 363LF0000X2016012516 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1770948234

Latrece Holloway, FNP's National Provider Identifier is 1770948234, issued on Dec 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Independence, MO. The record was last updated on Apr 20, 2026.