HOLLY M. RENSTROM


Address: 17 Annadell Rd, Norwich, CT 06360
Phone: 8608745176

HOLLY M. RENSTROM (NPI# 1255961561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255961561
Entity Type Individual
Full Name HOLLY M. RENSTROM
Practice Address 17 Annadell Rd
Norwich
CT 06360
Practice Telephone 8608745176
Mailing Telephone 8608745176
Enumeration Date 2020-01-26
Last Update Date 2020-01-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 106397902 CT Other Service Providers

Office Location

Street Address 17 ANNADELL RD
City NORWICH
State CT
Zip Code 06360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003417452 Mafe Duyan Rato Nurse Practitioner 624 W West Main St, St 140, Norwich, CT 06360 2020-11-03
1609335397 Chanel Justice Social Worker 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 2019-03-13
1457700189 Michelle Pressler Pharmacist 634 West Main St, Norwich, CT 06360 2016-06-03
1265895726 Katie Johnson Social Worker 18 Oneco Street, Norwich, CT 06360 2016-04-01
1871956623 Lori Deslandes-paz Pharmacist 372 West Main Street, Norwich, CT 06360 2016-03-30
1336526193 Keep An Open Mind, LLC Marriage & Family Therapist 12 Cass Street, Suite 202, Norwich, DC 06360 2015-04-30
1588084446 Kinneri Kothari Ophthalmology 79 Wawecus St Ste 105, Norwich, CT 06360 2014-04-18
1962746537 Robin B Smith Social Worker 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-20
1063766400 Colleen Ellen Phillips-white Social Worker 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-07
1760733786 Fanny Elena Aguilar Social Worker 401 W. Thames St., Southeastern Mental Health Authority, Bldg 301, Norwich, CT 06360 2012-10-01
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376173609 Tarik A Ali Driver 12 Wilcox St, Wethersfield, CT 06109-1250 2020-01-26
1205472396 Tyrone Craddock Driver 47 Woodlawn Ave, Bridgeport, CT 06606-2962 2019-11-23
1386205342 Sandy De Leon Adames Driver 77 Hartl Dr, Vernon Rockville, CT 06066-5218 2019-06-21
1427613645 Brenda Jean Wrenn Driver 153 Church St, Brooklyn, CT 06234 2019-05-02
1689157471 Tageldin Banaga Driver 1333 E Main St Apt 5, Bridgeport, CT 06608-1400 2018-09-08
1487141610 Avon Transportation LLC Driver 1265 Slater Rd, New Britain, CT 06053 2018-04-13
1780185520 Yaser Elhilo Driver 344 Whalley Ave, New Haven, CT 06511-3142 2018-02-27
1891201240 Mohammad Shahid Driver 8 Gaylord Rd, Windsor Locks, CT 06096-2815 2017-12-21
1174038921 Tariq Mehmood Driver 7 Loller Rd, Hamden, CT 06514-4315 2017-12-01
1063054930 Farhat Abbas Driver 7 Loller Rd, Hamden, CT 06514-4315 2019-10-11
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Competitor

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City NORWICH
Zip Code 06360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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