Provider Demographics
NPI:1033673322
Name:ORWA, CATHERINE A (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:ORWA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 JEFFREY LN
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-1617
Mailing Address - Country:US
Mailing Address - Phone:860-518-1081
Mailing Address - Fax:
Practice Address - Street 1:99 JEFFREY LN
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-1617
Practice Address - Country:US
Practice Address - Phone:860-518-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTA1702069376163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA1702069376Medicaid