Individual
TRICIA VARHOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
117 ALBANY TPKE STE 101, CANTON, CT 06019-2507
(860) 658-3444
Mailing address
PO BOX 379, COLCHESTER, CT 06415-0379
(860) 490-8698
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
E58145
CT
363LF0000X
Family Nurse Practitioner
Primary
10685
CT
Other
Enumeration date
07/08/2022
Last updated
11/17/2022
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