Provider Demographics
NPI:1972896165
Name:CATHCART, HOLLY BRIGGS (PA)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:BRIGGS
Last Name:CATHCART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 BIRCH TREE CIR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VT
Mailing Address - Zip Code:05091-7911
Mailing Address - Country:US
Mailing Address - Phone:520-240-3268
Mailing Address - Fax:
Practice Address - Street 1:5-7 ROPE FERRY RD
Practice Address - Street 2:DARTMOUTH COLLEGE
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-7977
Practice Address - Country:US
Practice Address - Phone:603-646-9413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0926363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant