Individual
HOLLY MICHAELA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 WHIPPLE RD, SOUTH HERO, VT 05486-4900
(802) 372-4020
Mailing address
PO BOX 326, COLCHESTER, VT 05446-0326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0007265
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025.0007265
STATE OF VERMONT BOARD OF NURSING
VT
Enumeration date
04/27/2011
Last updated
04/27/2011
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