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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 106397902 | CT | Other Service Providers |
Street Address |
17 ANNADELL RD |
City | NORWICH |
State | CT |
Zip Code | 06360 |
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 |
Find all providers in zip 06360 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
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 |
Find all providers with the same taxonomy |
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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.