Individual provider · Type 1 NPI
Hollister Berry, NP
Adult Health Nurse Practitioner · New Haven, CT
NPI number
1174719405
Active
Practice location
55 Lock St
New Haven, CT 06511-3603
Fax (203) 432-1386
Mailing address
PO Box 208237
New Haven, CT 06520-8237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 002743 (CT) |
| Registered Nurse | 163W00000X | 065534 (CT) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1174719405
Hollister Berry, NP's National Provider Identifier is 1174719405, issued on Sep 20, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Haven, CT. The record was last updated on Jan 19, 2012.