Carrie L Holt (NPI# 1518488071, PAC ID# 5092089169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518488071 |
| PAC ID by PECOS | 5092089169 |
| Professional Enrollment ID | I20170928001261 |
| Full Name | Carrie L Holt |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Address |
108 Viking Ave W Ulen MN 56585-0024 |
| Phone Number | 2185968867 |
| Gender | F |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284546151 |
| Number of Group Practice Members | 369 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 1412 Main St, Hawley, MN 56549 | 2184833564 | SANFORD MEDICAL CENTER FARGO |
| 108 Viking Ave W, Ulen, MN 56585-0024 | 2185968867 | SANFORD CLINIC NORTH |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jenna M Long | Nurse Practitioner | Sanford Clinic North | 100 St Ave Sw, Suite 2, Lamoure, ND 58458-7419 |
| Tamera A Ostenaa | Nurse Practitioner | Sanford Clinic North | 410 4th St Nw, Mahnomen, MN 56557-4208 |
| Daniel M Hoffman | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Morgan R Rinke | Nurse Practitioner | Sanford Clinic North | 820 4th St N, Fargo, ND 58102-4539 |
| Mridu Gandhi | Family Medicine | Sanford Clinic North | 929 Central Ave Nw, East Grand Forks, MN 56721-1917 |
| Ashish V Regulagadda | Nephrology | Sanford Clinic North | 736 Broadway N, Fargo, ND 58122-4421 |
| Mackenze J Cimbura | Physical Therapy | Sanford Clinic North | 904 5th Ave Ne, Jamestown, ND 58401-3437 |
| Tara R Mertz-hack | Family Medicine | Sanford Clinic North | 420 S 7th St, Oakes, ND 58474-2024 |
| Mary Isom | Physician Assistant | Sanford Clinic North | 21 Wiley Ave S, Lidgerwood, ND 58053-4001 |
| Street Address |
108 VIKING AVE W |
| City | ULEN |
| State | MN |
| Zip | 56585-0024 |
| City | ULEN |
| Zip Code | 56585 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ULEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carrie L Holt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.