Sophia Holland, is a
Nurse Practitioner - Family based in Mayer, Minnesota. Sophia Holland is licensed to practice in Minnesota (license number 2310633) and their current practice location is
12675 58th St, Mayer, Minnesota. This provider can be reached at their office (for appointments etc.) via phone at
(952) 992-9663.
NPI number for Sophia Holland is 1255253704 and their current mailing address is 12675 58th St, Mayer, Minnesota. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1255253704.
Provider's Profile
| Full Name | Sophia Holland |
|---|
| Gender | |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 12675 58th St, Mayer, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255253704
- Provider Enumeration Date: 07/27/2026
- Last Update Date: 07/27/2026
Medical Identifiers
Medical identifiers for Sophia Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255253704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 2310633 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Holland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sophia Holland, 12675 58th St, Mayer, MN 55360-9615 Ph: (952) 992-9663 | Sophia Holland, 12675 58th St, Mayer, MN 55360-9615 Ph: (952) 992-9663 |
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