Individual
NICOLE HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(877) 515-7147
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005964
CT
Other
Enumeration date
12/05/2014
Last updated
12/04/2015
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