Individual
HOLLY ANN DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
Mailing address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5956
CT
363LF0000X
Family Nurse Practitioner
CNP161017
ME
Other
Enumeration date
10/16/2014
Last updated
01/23/2025
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