# SANDRA HOLT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689756454
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN35082 | RI | — |
| 363LP0200X | Pediatric Nurse Practitioner | APRN00885 | RI | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | NPP37390 | RI | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007058932 | MEDICARE | RI |
| 05 | — | 0710890 | — | MA |
| 01 | — | 12/14/2006 | NHPRI | RI |
| 01 | — | 1689756454 | NPI | RI |
| 01 | — | 30578-7 | BLUECHIP | RI |
| 01 | — | 413721 | BCBSRI | RI |
| 05 | — | 7058932 | — | RI |
| 01 | — | 939025129 | RI MEDICARE GROUP NUMBER | RI |