Provider Demographics
NPI:1114972924
Name:DUGGAN, CATHY (RN)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4269 TAYLOR RD
Mailing Address - Street 2:APT. N-1
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4726
Mailing Address - Country:US
Mailing Address - Phone:757-686-0054
Mailing Address - Fax:
Practice Address - Street 1:1701 HIGH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3103
Practice Address - Country:US
Practice Address - Phone:757-393-8585
Practice Address - Fax:757-393-8027
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001043396163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management