Individual
HOLLEY ALICIA CETRANGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
620 VT RTE 12 N, NORTHFIELD, VT 05663-4436
(802) 279-9155
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
026.0029792
VT
363LN0000X
Neonatal Nurse Practitioner
Primary
056107-23
NH
Other
Enumeration date
09/14/2022
Last updated
12/08/2022
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