Holt, Sandra

Holt, Sandra is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Holt, Sandra can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN35082 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPP37390 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN00885 Rhode Island

Profile Details

NPI number 1689756454
LBN Legal business name Holt, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689756454 NPPES
Massachusetts MEDICAID 0710890
Massachusetts Other 12/14/2006
Massachusetts Other 1689756454
Massachusetts MEDICAID 7058932
Massachusetts Other 939025129
Massachusetts Other 007058932
Massachusetts Other 30578-7
Massachusetts Other 413721

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