| Doctor Name: | ANGELA MARIE HOLLES |
| NPI Number: | 1184922759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, NP-C |
| License Number: | 2011006205 |
| Business Practice Address: | 1006 N Jesse James Rd Suite 2 Excelsior Springs, MO - 640241202 |
| Business Phone Number: | 8166370117 |
| Business Fax Number: | 8166370814 |
| Mailing Address: | 1006 N Jesse James Rd, Suite 2 EXCELSIOR SPRINGS |
| State: | MO |
| Postal Code: | 640241202 |
| Phone Number: | 8166370117 |
| Fax Number: | 8166370814 |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2011006205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |