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NPI Code Detail

MEDICARE: MRS. SARAH HOLT CRNA

MEDICARE: MRS. SARAH HOLT CRNA
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
1163WC0200XCritical Care Medicine Registered NurseRN95271722CA
2367500000XCertified Registered Nurse Anesthetist326018AZ

General Provider Information

NPI Number : 1316775190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH HOLT CRNA
Provider Business Mailing Address
First Line : 2832 E SYLVIA ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-7133
Country : US
Telephone Number : 714-642-7887
Fax Number :
Provider Business Practice Location Address
First Line : 14502 W MEEKER BLVD
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85375-5282
Country : US
Telephone Number : 714-642-7887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2024
Last Update Date : 02/08/2026

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