Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lynn Holloway

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447784848

Amanda Lynn Holloway is a Student in an Organized Health Care Education/Training Program in Payson, Arizona. Works from 2 locations. Licensed in Arizona and Louisiana.

Licensed in
AZ, LA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

126 E Main St Ste B
Payson, AZ 85541-5488
Phone: (928) 468-8610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Hartford Rd, Manchester, CT 06040-5921 — (860) 533-4679

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 008289 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 009528503 (LA)

Record details

NPI number1447784848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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