Healthcare Provider Details

I. General information

NPI: 1942219654
Provider Name (Legal Business Name): CATHLEEN M PLATT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SEYMOUR ST STE 100
HARTFORD CT
06106-5521
US

IV. Provider business mailing address

270 FARMINGTON AVE SUITE 102
FARMINGTON CT
06032-1909
US

V. Phone/Fax

Practice location:
  • Phone: 860-549-3210
  • Fax: 860-247-3803
Mailing address:
  • Phone: 860-549-8276
  • Fax: 860-674-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number001587
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number001587
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: