MEDICARE: MRS. SHERI NELL HOLEC CRNP

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
1	363LA2200X	Adult Health Nurse Practitioner	LNP0024167169	VA
2	363L00000X	Nurse Practitioner	AC000670	MD
3	363LA2200X	Adult Health Nurse Practitioner	R 207123-1	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396738910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERI NELL HOLEC CRNP

Provider Business Mailing Address
First Line	:	CHS AT AMERIPRISE FINANCIAL
Second Line	:	380 AMERIPRISE FINANCIAL CENTER
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55474-0001
Country	:	US
Telephone Number	:	612-671-6214
Fax Number	:	612-671-6221

Provider Business Practice Location Address
First Line	:	CHS AT AMERIPRISE FINANCIAL
Second Line	:	380 AMERIPRISE FINANCIAL CENTER
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55474-0001
Country	:	US
Telephone Number	:	612-671-6214
Fax Number	:	612-671-6221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	06/20/2012

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