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

Anna Gongjoo Holley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366141285

Anna Gongjoo Holley is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone: (801) 664-1439
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366141285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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