NPI 1255961561

Holly M. Renstrom

Practitioner Driver Norwich, CT

Practice location

Address: 17 Annadell Rd, Norwich, CT 06360
Phone: (860) 874-5176

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 106397902 (CT)

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Registry record

NPI: 1255961561
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2020
Record last updated: 26 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.