Provider Demographics
NPI:1811409774
Name:HOLLOPETER, DANA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:HOLLOPETER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 KATY FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1902
Mailing Address - Country:US
Mailing Address - Phone:281-600-5000
Mailing Address - Fax:385-351-1150
Practice Address - Street 1:999 E MURRAY HOLLADAY RD STE 204
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84117-5085
Practice Address - Country:US
Practice Address - Phone:801-500-0919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT76405953102363LF0000X
UTF09170522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily