SANDRA J. HOLMGREN (NPI# 1053677062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053677062 |
| Entity Type | Individual |
| Full Name | SANDRA J. HOLMGREN |
| Credential | GNP-C |
| Practice Address |
40520 County Highway 34 Ogema MN 56569 |
| Practice Telephone | 2189834300 |
| Practice Fax Number | 2189834300 |
| Mailing Telephone | 2189834300 |
| Mailing Fax Number | 2189836217 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP1464 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R37463 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1053677062 | 05 | |
| WI | 1053677062 | 05 | |
| MI | 1053677062 | 05 |
| Street Address |
40520 COUNTY HIGHWAY 34 |
| City | OGEMA |
| State | MN |
| Zip Code | 56569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243118 | Melissa Lyn Wentz Opsahl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2005-08-26 |
| 1033751474 | Monica Sue Wenschlag | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569-9612 | 2019-10-16 |
| 1164902839 | Victoria Schmitt | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2018-08-21 |
| 1235641101 | Daniel Cox | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-10-31 |
| 1376054338 | Jeralyn Marlo Peterson | Dental Hygienist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-10-18 |
| 1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
| 1588189641 | Ashley Jean Piehl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-08-10 |
| 1255852026 | Lynette Willeto Wasson | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-07-03 |
| 1427588458 | Mohammed Alrahbi | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-06-13 |
| 1568991602 | Benjamin William Sitz | Dentist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
| 1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
| 1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
| 1053432203 | Jack Thomas Mohr | Pharmacist | Phs Indian Health Service, 40520 Co. Hwy 34, Ogema, MN 56569 | 2007-04-03 |
| 1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
| 1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1730402108 | Julie Ann Cook | Registered Nurse | 407 E Main Street, Ogema, MN 56569 | 2010-03-12 |
| Find all providers in zip 56569 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093069841 | Jana Jolene Heger | Nurse Practitioner | 40520 Cty Hwy 34, Ogema, MN 56569-0000 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587193 | Sadiya Abdirahman Esse | Nurse Practitioner | 1690 Silver Lake Rd Nw, New Brighton, MN 55112-1788 | 2020-08-09 |
| 1881226512 | Abby Marie Zenner | Nurse Practitioner | 1771 Countryside Dr, Shakopee, MN 55379-4451 | 2020-02-11 |
| 1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
| 1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1659623999 | Joy Laansma | Nurse Practitioner | 3366 Oakdale Avenue North, Suite 551, Robbinsdale, MN 55422-2948 | 2012-10-10 |
| 1720337694 | Zhonghua Xie | Nurse Practitioner | 1202 5th Grant Blvd W, Wabasha, MN 55981-1115 | 2012-09-06 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1548577224 | Lorene Ann Gray | Nurse Practitioner | 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 | 2010-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.