Individual
THEA ANN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
3107 PINE TREE TRL, STURGIS, SD 57785-2704
(605) 490-1838
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R039136
SD
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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