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MRS. ANGELA HOLLY BERRY
NPI 1043792708
Nurse Practitioner - Family in Wolcott, CT

Active since August 29, 2018
17 TYRRELL DRIVE, WOLCOTT, CT 06716(203) 704-6193 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Angela Holly Berry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELA HOLLY BERRY (NPI 1043792708) is an individual family provider in Wolcott, Connecticut, licensed in Connecticut (7795) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1043792708
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANGELA HOLLY BERRY
Location Address17 TYRRELL DRIVEWolcott, CT 06716
Mailing Address17 Tyrrell DriveWolcott, CT 06716 · (203) 704-6193
Phone(203) 704-6193
Sole ProprietorNo
Enumeration DateAugust 29, 2018
✔ NPI 1043792708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 7795
17 TYRRELL DRIVE, Wolcott, CT 06716
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Berry's NPI number?

The NPI number for Angela Berry is 1043792708. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Angela Berry located?

Angela Berry practices at 17 Tyrrell Drive, Wolcott, CT 06716. The listed phone number is (203) 704-6193.

What is Angela Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Angela Berry was last updated on August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.