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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HOLLY ANNE BURNAM

Active

HOLLY ANNE BURNAM is a Family Nurse Practitioner healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1487201091 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1487201091
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2019 (6.9436370708682 yrs)
Last Updated
Sep 8, 2020
Licenses
766953 (CA)
95012441 (CA)

Practice Information

Address
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA, 961507008
Browse CA providers · Browse ZIP 96150
Phone
5305413420
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
AMY PITTLICK SMITH NP 1013907096
MS. PATIENCE WENCK FNP 1124238548
JASON CROWLEY FNP, DC 1871862565
ELKE ANNE HOUSER FNP-C, ENP-C, RN 1558600122
TESSA DAHLEN AMOS NP-C 1699187849
DREW N HERBERT FNP 1477022358
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.