- Practice location
- 126 E Main St Ste B, Payson, AZ 85541-5488
- Phone
- 928-468-8610
- Fax
- —
- Last updated
- March 22, 2021
Amanda Lynn Holloway is a Family Medicine based in Payson, AZ. Amanda Lynn Holloway practices in Payson, AZ. The NPI Number for Amanda Lynn Holloway is 1447784848 and holds a License No. 009528503 (LA). The current practice location address for Amanda Lynn Holloway is 126 E Main St Ste B, Payson, AZ 85541-5488 and can be reached out via phone at 928-468-8610.
Provider Profile Details
- NPI Number
- 1447784848
- Provider Name
- Amanda Lynn Holloway
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 126 E Main St Ste B, Payson, AZ 85541-5488
- Phone Number
- 928-468-8610
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2017
- Last Update Date
- March 22, 2021
- Certification Date
- March 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 126 E Main St Ste B
Payson, AZ 85541-5488 - City
- Payson
- State
- Arizona
- Zip
- 85541-5488
- Phone Number
- 928-468-8610
Provider Business Mailing Address Details
- Address
- Po Box 3630
Flagstaff, AZ 86003-3630 - City
- Flagstaff
- State
- AZ
- Zip
- 86003-3630
- Phone Number
- 928-522-9879
- Fax Number
- 928-522-9880
License Information
- License Number (1)
- 009528503
- License State (1)
- LA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 008289
- License State (2)
- AZ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Payson, AZ
View all Family Medicine providers in Payson →Frequently Asked Questions
What is the NPI number of Amanda L Holloway?
The NPI number of Amanda L Holloway is 1447784848. It was assigned on April 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Amanda L Holloway?
Amanda L Holloway is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in LA under license number 009528503.
Where does Amanda L Holloway practice?
The practice location is 126 E Main St Ste B, Payson, AZ 85541-5488. The office can be reached at 928-468-8610 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447784848 directly on the NPPES registry website.