Individual provider · Type 1 NPI
Holly M. Renstrom
Driver · Norwich, CT
NPI number
1255961561
Active
Practice location
17 Annadell Rd
Norwich, CT 06360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 106397902 (CT) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1255961561
Holly M. Renstrom's National Provider Identifier is 1255961561, issued on Jan 26, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Norwich, CT. The record was last updated on Jan 26, 2020.