Individual
SANDRA J. HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-C
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569
(218) 983-4300
(218) 983-4300
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP1464
MN
363LG0600X
Gerontology Nurse Practitioner
R37463
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053677062
—
MI
05
—
1053677062
—
MN
05
—
1053677062
—
WI
Enumeration date
04/03/2012
Last updated
08/05/2015
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