Sandra J. Holmgren
Nurse Practitioner - Gerontology
40520 County Highway 34
Ogema
, Minnesota 56569
Sandra J. Holmgren
Nurse Practitioner - Gerontology
40520 County Highway 34
Ogema
, Minnesota 56569
(218) 983-6217
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Sandra J. Holmgren
- 40520 County Highway 34
- Ogema, MN
- Zip : 56569
- Fax : (218) 983-6217
- Phone : (218) 983-4300
Second Address
- Sandra J. Holmgren
- 40520 County Highway 34
- Ogema, MN
- Zip : 56569
- Fax : (218) 983-4300
- Phone : (218) 983-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | CNP1464 | MN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | R37463 | ND |
National Provider Identifier
| NPI | 1053677062 |
|---|---|
| Provider Name | Sandra J. Holmgren |
| First Address | Ogema, MN 56569 |
| Second Address | Ogema, MN 56569 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2012 |
| Last Update Date | 05/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053677062 | (05) | MI |
| 1053677062 | (05) | MN |
| 1053677062 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.