Individual
ANDRIA HOLMES HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132
(801) 581-7647
Mailing address
8916 S FLATIRON DR, SANDY, UT 84093-1704
(801) 560-5480
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
4924227-3102
UT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4924227-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924227-3102
DOPL
UT
Enumeration date
06/05/2018
Last updated
11/04/2021
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