Provider Demographics
NPI:1952134413
Name:HOLT, SONDRA LIANE (STNA)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:LIANE
Last Name:HOLT
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3437
Mailing Address - Country:US
Mailing Address - Phone:419-239-5618
Mailing Address - Fax:
Practice Address - Street 1:406 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3437
Practice Address - Country:US
Practice Address - Phone:419-239-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care