Healthcare Provider Details

I. General information

NPI: 1699032078
Provider Name (Legal Business Name): HOLLY A PLUMB NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 W MAIN ST STE 204
HOPKINTON MA
01748-1689
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-7599
  • Fax: 508-473-1418
Mailing address:
  • Phone: 800-225-8885
  • Fax: 508-334-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN191514
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: