Individual
MRS. CATHERINE A HOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11 INTERLAKEN RD, LAKEVILLE, CT 06039
(860) 435-3226
Mailing address
118 COLLEGE ST, LITCHFIELD, CT 06759-4206
(860) 672-0105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002560
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002560
APRN
CT
01
—
06-1088532
TAX ID #
—
01
—
31374
CT CONTROLLED SUBSTANCE
CT
05
—
5217495
—
CT
01
—
E60405
RN LICENSE
CT
Enumeration date
07/13/2006
Last updated
03/07/2023
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