Healthcare Provider Details

I. General information

NPI: 1790873719
Provider Name (Legal Business Name): CATHERINE MARY ZANESKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE MARY HOPKINS APRN

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VETERAN'S AFFAIRS CONNECTICUT HEALTHCARE SYSTEM 950 CAMPBELL AVE
WEST HAVEN CT
06516
US

IV. Provider business mailing address

151 FOXBRIDGE VILLAGE RD
BRANFORD CT
06405-2210
US

V. Phone/Fax

Practice location:
  • Phone: 203-932-5711
  • Fax: 203-937-4789
Mailing address:
  • Phone: 203-314-3206
  • Fax: 203-937-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number002654
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number063826
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: