Healthcare Provider Details

I. General information

NPI: 1780754721
Provider Name (Legal Business Name): SHARI LEE HOLTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARI LEE ROBBS

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MINNESOTA PHYSICIANS 424 HARVARD ST SE, SUITE M100
MINNEAPOLIS MN
55455
US

IV. Provider business mailing address

UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE ST SE, MMC 480
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-625-5411
  • Fax:
Mailing address:
  • Phone: 612-625-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR126979-8
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: