Provider Demographics
NPI:1265066690
Name:LETTERMAN-HITT, HOLLY K (FNP-BC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:K
Last Name:LETTERMAN-HITT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-0397
Mailing Address - Country:US
Mailing Address - Phone:417-210-7003
Mailing Address - Fax:417-210-7006
Practice Address - Street 1:105 S RIDGECREST AVE STE 3C
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-6206
Practice Address - Country:US
Practice Address - Phone:417-210-7003
Practice Address - Fax:417-210-7006
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020005222363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily