Individual
MRS. HOLLIE SUZANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 HYDE AVE STE 109, VERNON, CT 06066-4503
(860) 454-0303
(860) 875-4242
Mailing address
9 BISHOP RD, OXFORD, CT 06478-1597
(866) 881-0979
(203) 643-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004550
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004550
CT
Other
Enumeration date
11/15/2010
Last updated
08/21/2025
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