Provider Demographics
NPI:1235525940
Name:MAINA, CATHERINE W (APRN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:W
Last Name:MAINA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:W
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 1150
Mailing Address - Street 2:C/O UVMHN E ELKINS
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05402-1150
Mailing Address - Country:US
Mailing Address - Phone:802-847-1882
Mailing Address - Fax:
Practice Address - Street 1:3 TIMBER LANE
Practice Address - Street 2:UVMHN TIMBER LANE FAMILY PRACTICE
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403
Practice Address - Country:US
Practice Address - Phone:802-847-8500
Practice Address - Fax:802-334-3512
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0109814363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily