Provider Demographics
NPI:1497447866
Name:HOLLYMAN, LINDA (APN, FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HOLLYMAN
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9980 PARK MEADOWS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8404
Mailing Address - Country:US
Mailing Address - Phone:303-715-9024
Mailing Address - Fax:303-715-5020
Practice Address - Street 1:9980 PARK MEADOWS DR STE 100
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-8404
Practice Address - Country:US
Practice Address - Phone:303-715-9024
Practice Address - Fax:303-715-5020
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998697-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily