Individual
HOLLISTER BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0038
(203) 432-1386
Mailing address
PO BOX 208237, NEW HAVEN, CT 06520-8237
(203) 432-0038
(203) 432-1386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
065534
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002743
CT
Other
Enumeration date
09/20/2007
Last updated
01/19/2012
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