ANDREA HOLLIS
NPI 1326631540
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since February 18, 2021
79 BEACON ST, WATERBURY, CT 06704(203) 574-9000 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Hollis NPPES

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

ANDREA HOLLIS (NPI 1326631540) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1326631540
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA HOLLIS
Location Address79 BEACON STWaterbury, CT 06704-3424
Mailing Address141 E Main StWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1326631540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
79 BEACON ST, Waterbury, CT 06704

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
79 BEACON ST
WATERBURY, CT 06704
Registered Nurse
79 BEACON ST
WATERBURY, CT 06704
Technician
79 BEACON ST
WATERBURY, CT 06704
Student in an Organized Health Care Education/Training Program
79 BEACON ST
WATERBURY, CT 06704
Community Health Worker
79 BEACON ST, WOMEN AND CHILDRENS PROGRAM
WATERBURY, CT 06704
Technician
79 BEACON ST
WATERBURY, CT 06704
Community Health Worker
79 BEACON ST
WATERBURY, CT 06704
Student in an Organized Health Care Education/Training Program
79 BEACON ST
WATERBURY, CT 06704

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 Andrea Hollis's NPI number?

The NPI number for Andrea Hollis is 1326631540. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Andrea Hollis located?

Andrea Hollis practices at 79 Beacon St, Waterbury, CT 06704. The listed phone number is (203) 574-9000.

What is Andrea Hollis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Hollis was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.