Provider Demographics
NPI:1659336303
Name:MILNE, CATHERINE T (APRN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:T
Last Name:MILNE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1535
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06011-1535
Mailing Address - Country:US
Mailing Address - Phone:860-340-8280
Mailing Address - Fax:
Practice Address - Street 1:204 KEEGAN RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:CT
Practice Address - Zip Code:06782-2608
Practice Address - Country:US
Practice Address - Phone:860-340-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000638363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT500000120Medicare ID - Type UnspecifiedPROVIDER NUMBER
CTS55058Medicare UPIN