Provider Demographics
NPI:1801407564
Name:VU MORRISSEY, CATHERINE M (MS, RN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:M
Last Name:VU MORRISSEY
Suffix:
Gender:F
Credentials:MS, RN, CPNP-PC
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RN, CPNP-PC
Mailing Address - Street 1:451 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-4118
Mailing Address - Country:US
Mailing Address - Phone:617-827-1155
Mailing Address - Fax:
Practice Address - Street 1:451 CENTRE ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-4118
Practice Address - Country:US
Practice Address - Phone:617-827-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202018108208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics