| Doctor Name: | SANDRA J. HOLMGREN |
| NPI Number: | 1053677062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP-C |
| License Number: | R37463 |
| Business Practice Address: | 40520 County Highway 34 Ogema, MN - 56569 |
| Business Phone Number: | 2189834300 |
| Business Fax Number: | 2189834300 |
| Mailing Address: | 40520 County Highway 34, OGEMA |
| State: | MN |
| Postal Code: | 56569 |
| Phone Number: | 2189834300 |
| Fax Number: | 2189836217 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R37463 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |