Individual
HOLLY BERTHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
99 PASCOAG MAIN ST, PASCOAG, RI 02859-3103
(401) 744-3374
Mailing address
99 PASCOAG MAIN ST, PASCOAG, RI 02859-3103
(401) 744-3374
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN02465
RI
Other
Enumeration date
02/07/2021
Last updated
06/23/2021
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