Healthcare Provider Details

I. General information

NPI: 1184502460
Provider Name (Legal Business Name): CATHERINE HEPBURN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 KNIGHT ST STE 101
NORWALK CT
06851-4707
US

IV. Provider business mailing address

32 KNIGHT ST STE 101
NORWALK CT
06851-4707
US

V. Phone/Fax

Practice location:
  • Phone: 203-853-2610
  • Fax: 203-663-7978
Mailing address:
  • Phone: 646-469-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15279
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: