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NPI Code Detail

MEDICARE: SANDRA J HOUSHOLDER ARNP

MEDICARE: SANDRA J HOUSHOLDER ARNP
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
1363LP2300XPrimary Care Nurse Practitioner1001214-NPCO

General Provider Information

NPI Number : 1326900341
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA J HOUSHOLDER ARNP
Provider Business Mailing Address
First Line : 7176 HIGH ST
Second Line :
City : FREDERICK
State : CO
Zip : 80504-5644
Country : US
Telephone Number : 303-993-1330
Fax Number : 303-647-3647
Provider Business Practice Location Address
First Line : 12600 W COLFAX AVE STE B200
Second Line :
City : LAKEWOOD
State : CO
Zip : 80215-3736
Country : US
Telephone Number : 303-993-1330
Fax Number : 303-647-3647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2025
Last Update Date : 12/03/2025

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Directions to “ SANDRA J HOUSHOLDER ARNP” Practice Location

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