Provider Demographics
NPI:1588816169
Name:GANLEY, CATHERINE MARY (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:GANLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DRINKWATER RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4602
Mailing Address - Country:US
Mailing Address - Phone:603-583-3825
Mailing Address - Fax:
Practice Address - Street 1:25 DRINKWATER RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4602
Practice Address - Country:US
Practice Address - Phone:603-583-3825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH036530-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health