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Holly Roxanne Kinnell-rust, FNP
Family Nurse Practitioner in Putnam, Connecticut
NPI 1932287893

Holly Roxanne Kinnell-rust is a Family Nurse Practitioner based in Putnam, CT and is specialized in Family. Holly Roxanne Kinnell-rust practices in Putnam, CT and has the professional credentials of FNP. The NPI Number for Holly Roxanne Kinnell-rust is 1932287893 and holds a License No. 191964 (Connecticut).

The current practice location address for Holly Roxanne Kinnell-rust is 320 Pomfret St, Putnam, CT and can be reached out via phone at 860-963-6371 and via fax at 860-963-6413.

Location: 320 Pomfret St, Putnam, CT, 06260-1836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932287893
Provider Name
Holly Roxanne Kinnell-rust
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
320 Pomfret St, Putnam, CT, 06260-1836
Phone Number
860-963-6371
Fax Number
860-963-6413
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932287893 05 MO
P00859525 01 RAILROAD MEDICARE
008073029 05 CT
184085758 05 AR
431560263 01 TRICARE WEST
institution
Provider Business Practice Location Address Details
Address
320 Pomfret St
City
Putnam
State
Connecticut
Zip
06260-1836
Phone Number
860-963-6371
Fax Number
860-963-6413
person
Provider Business Mailing Address Details
Address
320 Pomfret St
City
Putnam
State
Connecticut
Zip
06260-1836
Phone Number
860-963-6371
Fax Number
860-963-6413
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2010026851 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
191964 (Massachusetts)
Definition
Definition to come...
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