Healthcare Provider Details

I. General information

NPI: 1003614868
Provider Name (Legal Business Name): HOLBROOK CARON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLBROOK CARON

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CIRRUS DR APT 7305
ASHLAND MA
01721-4429
US

IV. Provider business mailing address

71 WEST ST
BELCHERTOWN MA
01007-9621
US

V. Phone/Fax

Practice location:
  • Phone: 413-345-8434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN2363040
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: