IndividualActive
Brent Holloway
NPI 1265051171 · Case Manager/Care Coordinator · Idaho Falls, ID
Provider details
- NPI number
- 1265051171
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
1995 E 17th St
Idaho Falls, ID 83404-6493
Registry dates
- Enumerated
- 2020-04-10
- Last updated
- 2020-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.