Provider Demographics
NPI:1790873719
Name:ZANESKI, CATHERINE MARY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARY
Last Name:ZANESKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:151 FOXBRIDGE VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2210
Mailing Address - Country:US
Mailing Address - Phone:203-314-3206
Mailing Address - Fax:203-937-4789
Practice Address - Street 1:VETERAN'S AFFAIRS CONNECTICUT HEALTHCARE SYSTEM
Practice Address - Street 2:950 CAMPBELL AVE
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-4789
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT063826163W00000X
CT002654364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse