Doctor Name: | ELIZABETH HOLCOMB |
NPI Number: | 1003102039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 87850 |
Business Practice Address: | 232 Cedar St New Haven, CT - 065191610 |
Business Phone Number: | 2035033300 |
Business Fax Number: | 2037810276 |
Mailing Address: | 913 State St, NEW HAVEN |
State: | CT |
Postal Code: | 065113926 |
Phone Number: | 2035033351 |
Fax Number: | 2037810276 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA0400X |
License Number: | 87850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |