Individual
PAULA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT, HARTFORD, CT 06106-3309
(860) 545-7203
(860) 545-7253
Mailing address
92 COLONY RD, SOUTH WINDSOR, CT 06074-2402
(860) 282-2855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E35348
RN LICENSE #
CT
Enumeration date
08/31/2006
Last updated
07/09/2007
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