Provider Demographics
NPI:1013414242
Name:SCIARROTTA, CAITLYN (RN)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:SCIARROTTA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6502 LOWER YORK RD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938
Mailing Address - Country:US
Mailing Address - Phone:609-575-4459
Mailing Address - Fax:
Practice Address - Street 1:1306 RIVER AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5614
Practice Address - Country:US
Practice Address - Phone:866-387-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15554000163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NR15554000OtherNJ LICENSING BOARD