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Shane Holloway, FNP-C
NPI 1821534231 · on the registry since 2017
Practice
- Address
- 1401 Forum Blvd Ste 202
Columbia, MO 65203 - Phone
- (573) 234-1367
- Organisation at this address
- Renova Medical Center, Llc
Dental Wellness Partners Llc
Rose Family Chiropractic Llc
Accent Dental Center On Forum, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri