Provider Demographics
NPI:1679719454
Name:HOLT, TERI ANNE
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:ANNE
Last Name:HOLT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7866 S LAFAYETTE CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3017
Mailing Address - Country:US
Mailing Address - Phone:303-347-8881
Mailing Address - Fax:
Practice Address - Street 1:200 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1621
Practice Address - Country:US
Practice Address - Phone:303-765-2480
Practice Address - Fax:303-765-2492
Is Sole Proprietor?:No
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator