Holly Rebecca Etheredge, APRN

Nurse practitioner in Longview, Texas · NPI 1538878053

Holly Etheredge is one of 195 nurse practitioners practicing in Longview, Texas. Holly Etheredge practices with East Texas Kidney Specialists,PA and North Texas Physician Services, PLLC.

Registry record (NPPES)

NPI
1538878053
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
700 E Marshall Ave
Longview, TX 75601-5580
(903) 315-1500
Enumerated
Nov 23, 2022
Record last updated
Jan 17, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

More nurse practitioners in Longview

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.