Doctor Name: | MRS. VALERIE HOLCOMB |
NPI Number: | 1730275348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 000292 |
Business Practice Address: | 1062 Barnes Road Suite 102 Wallingford, CT - 06492 |
Business Phone Number: | 2032946328 |
Business Fax Number: | 2032946346 |
Mailing Address: | 1062 Barnes Road, Suite 102 WALLINGFORD |
State: | CT |
Postal Code: | 06492 |
Phone Number: | 2032946328 |
Fax Number: | 2032946346 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 000292 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |