Individual
CATHERINE JOANNA CANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 N MOUNTAIN RD STE 202, PLAINVILLE, CT 06062-1848
(860) 224-4408
Mailing address
15 RACHEL LN, IVORYTON, CT 06442-1155
(860) 604-6221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8542
CT
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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