Provider Demographics
NPI:1669604112
Name:YU, CATHERINE ANN (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:YU
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 COMMERCE WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3272
Mailing Address - Country:US
Mailing Address - Phone:207-343-1701
Mailing Address - Fax:855-628-4699
Practice Address - Street 1:170 COMMERCE WAY STE 103
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:207-343-1701
Practice Address - Fax:855-628-4699
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN241510363LF0000X
NH048111-23363LF0000X
MECNP131048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily