Healthcare Provider Details

I. General information

NPI: 1174100069
Provider Name (Legal Business Name): BRITTANY DUBUQUE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY CATANIA

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06106-3300
US

IV. Provider business mailing address

99 EAST RIVER DRIVE 5TH FLOOR
EAST HARTFORD CT
06108
US

V. Phone/Fax

Practice location:
  • Phone: 860-282-4128
  • Fax:
Mailing address:
  • Phone: 860-282-4128
  • Fax: 866-623-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number111542
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: