Marini, Holly

Marini, Holly is an sole proprietor health care provider with primary practice located at 949 Bridgeport Ave , Milford CT 06460-3142. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Marini, Holly can be contacted via phone (203) 878-6365.

Contact Information

Primary practice address
949 Bridgeport Ave Milford CT 06460-3142
Phone: (203) 878-6365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000579 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X R29021 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 001492 Connecticut

Profile Details

NPI number 1073531927
LBN Legal business name Marini, Holly
Credentials APRN, LADC, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Oct 13th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073531927 NPPES
Connecticut Other 400001492CT03 ANTHEM
Connecticut Other 311160 ANTHEM
Connecticut MEDICAID 004039244 ANTHEM
Connecticut Other 000254423 ANTHEM
Connecticut Other P00098065 ANTHEM
Connecticut Other 235142 ANTHEM

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