Provider Demographics
NPI:1487477444
Name:VASSMER, HOLLY RACHEL (FNP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:RACHEL
Last Name:VASSMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38007 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:MO
Mailing Address - Zip Code:64017-9113
Mailing Address - Country:US
Mailing Address - Phone:816-352-6442
Mailing Address - Fax:
Practice Address - Street 1:1914 SWIFT AVE
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3447
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024043057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily