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NPI Code Detail

MEDICARE: CAROLINE HOLT

MEDICARE:   CAROLINE  HOLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1578414272
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE HOLT
Provider Business Mailing Address
First Line : 1309 COFFEEN AVE STE 1200
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-5777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1309 COFFEEN AVE STE 1200
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-5777
Country : US
Telephone Number : 775-293-1177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 02/07/2026

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Directions to “ CAROLINE HOLT ” Practice Location

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