NPI 1073235313 · live from the CMS NPI Registry
Holley Alicia Cetrangolo
Nurse Practitioner, Neonatal in Lebanon, NH. National Provider Identifier 1073235313, active.
NPI record
| NPI | 1073235313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Neonatal 363LN0000X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-5000 |
| Mailing address | 620 Vt Rte 12 N, Northfield, VT 05663 |
| Enumerated | September 14, 2022 |
| Last updated | December 8, 2022 |
| Sole proprietor | No |
| Other names | Holley Mcguire |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Neonatal Intensive Care | 163WN0002X | 026.0029792 (VT) |
| Nurse Practitioner, Neonatal primary | 363LN0000X | 056107-23 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.