Healthcare Provider Details

I. General information

NPI: 1922969682
Provider Name (Legal Business Name): HOLLY TURNER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 FISHER POND RD
SAINT ALBANS VT
05478-6286
US

IV. Provider business mailing address

107 FISHER POND RD
SAINT ALBANS VT
05478-6286
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-6554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: