person
Ms. Marybeth Holak, ARNP
Family Nurse Practitioner in New Haven, Connecticut
NPI 1518067230

Marybeth Holak is a Family Nurse Practitioner based in New Haven, CT and is specialized in Family. Marybeth Holak practices in New Haven, CT and has the professional credentials of ARNP. The NPI Number for Marybeth Holak is 1518067230 and holds a License No. 6944 (Connecticut).

The current practice location address for Marybeth Holak is 428 Columbus Avenue, New Haven, CT and can be reached out via phone at 203-503-3000 and via fax at 203-503-3224. You can also correspond with Marybeth Holak through the mailing address at 400 COLUMBUS AVENUE, NEW HAVEN, CT - 06519-1233 (mailing address contact number: 203-503-3000).

Location: 428 Columbus Avenue, New Haven, CT, 06519-1233
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Provider Profile Details
NPI Number
1518067230
Provider Name
Marybeth Holak
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
428 Columbus Avenue, New Haven, CT, 06519-1233
Phone Number
203-503-3000
Fax Number
203-503-3224
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P61979 01 NH ANTHEM BCBS
008075168 05 CT
P00067536 01 NH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
428 Columbus Avenue
City
State
Zip
06519-1233
Phone Number
203-503-3000
Fax Number
203-503-3224
person
Provider Business Mailing Address Details
Address
428 Columbus Avenue
City
State
Zip
06519-1233
Phone Number
203-503-3000
Fax Number
203-503-3224
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6944 (Connecticut)
Definition
Definition to come...
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