Individual
MRS. CARLY MARIE WHOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 GARRETT PL, APT 4H, BRONXVILLE, NY 10708
(860) 302-8816
Mailing address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(860) 246-2071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6181
CT
363LF0000X
Family Nurse Practitioner
F339574-1
NY
Other
Enumeration date
06/02/2016
Last updated
07/08/2020
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