Individual
MS. SANDRA R. HOLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
L10019722
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
0024168548
VA
363LP0200X
Pediatric Nurse Practitioner
L10019722
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494813
—
MD
05
—
20958
—
NJ
05
—
7780192
—
VA
Enumeration date
09/29/2006
Last updated
01/12/2011
Update your record
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