Individual
ELIZABETH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15367
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
15367
CT
Other
Enumeration date
09/17/2025
Last updated
03/18/2026
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