Active NPIIndividual provider

Holly A Desmarais, NP-C

Nurse Practitioner, Family in Willimantic, Connecticut

NPI Number1235533415
Practice location
150 Mansfield Ave, Willimantic, CT 06226-2026
Fax
—
Last updated
January 23, 2025

Holly Ann Desmarais is a Nurse Practitioner, Family based in Willimantic, CT. Holly Ann Desmarais practices in Willimantic, CT and has the professional credentials of NP-C. The NPI Number for Holly Ann Desmarais is 1235533415 and holds a License No. CNP161017 (ME). The current practice location address for Holly Ann Desmarais is 150 Mansfield Ave, Willimantic, CT 06226-2026 and can be reached out via phone at 860-423-3299.

Provider Profile Details

NPI Number
1235533415
Provider Name
Holly Ann Desmarais
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
150 Mansfield Ave, Willimantic, CT 06226-2026
Phone Number
860-423-3299
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2014
Last Update Date
January 23, 2025
Certification Date
January 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Mansfield Ave
Willimantic, CT 06226-2026
Zip
06226-2026
Phone Number
860-423-3299
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
150 Mansfield Ave
Willimantic, CT 06226-2026
City
Willimantic
State
CT
Zip
06226-2026
Phone Number
860-423-3299

License Information

License Number (1)
CNP161017
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
5956
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Holly A Desmarais, NP-C?

The NPI number of Holly A Desmarais, NP-C is 1235533415. It was assigned on October 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Holly A Desmarais, NP-C?

Holly A Desmarais, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP161017.

Where does Holly A Desmarais, NP-C practice?

The practice location is 150 Mansfield Ave, Willimantic, CT 06226-2026. The office can be reached at 860-423-3299 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235533415 directly on the NPPES registry website.

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