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Contact Information

HOLLY N ATTERBERRY, FNP
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO65473-9098
 Phone: 573-596-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLLY N ATTERBERRY · (Female)

NPI Number 1760862551
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/05/2015
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015016923
  • MO Medicaid 1760862551
  • MO Other 26D0679044 CLIA - LFC
  • MO Other 26D0889777 CLIA - MOB
  • MO Other 26-8535 MEDICARE OSCAR
  • MO Other 26-8630 MEDICARE OSCAR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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