Provider Demographics
NPI:1992417836
Name:HOLMES, SARAH E (APRN, FNP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:E
Last Name:HOLMES
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 JOSHUA DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2218
Mailing Address - Country:US
Mailing Address - Phone:916-316-0224
Mailing Address - Fax:
Practice Address - Street 1:1480 JOSHUA DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2218
Practice Address - Country:US
Practice Address - Phone:916-316-0224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily