Individual
HOLLIE T NOVELETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 774-4400
(617) 244-1827
Mailing address
66 SOUTHSIDE RD, YORK, ME 03909-5117
(207) 363-9231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
035703-23-06
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R051152
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079051
BC/BS
ME
05
—
30005926
—
NH
05
—
431895999
—
ME
Enumeration date
05/23/2006
Last updated
12/15/2008
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