Provider Demographics
NPI:1144396532
Name:GIRARD, CATHERINE A (APRN, DNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:GIRARD
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:G
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN
Mailing Address - Street 1:19 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2135
Mailing Address - Country:US
Mailing Address - Phone:860-916-6244
Mailing Address - Fax:
Practice Address - Street 1:200 W TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2112
Practice Address - Country:US
Practice Address - Phone:860-886-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003312363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner