Provider Demographics
NPI:1639311350
Name:HOLMES, SANDRA (RD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASPEN VALLEY HOSPITAL
Mailing Address - Street 2:0401 CASTLE CREEK ROAD
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1159
Mailing Address - Country:US
Mailing Address - Phone:970-544-1145
Mailing Address - Fax:970-544-1312
Practice Address - Street 1:ASPEN VALLEY HOSPITAL
Practice Address - Street 2:0401 CASTLE CREEK ROAD
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1159
Practice Address - Country:US
Practice Address - Phone:970-544-1145
Practice Address - Fax:970-544-1312
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered