Provider Demographics
NPI:1073241782
Name:CONNOR, CAITLIN ALLEGRA (DAOM, PGDIP)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ALLEGRA
Last Name:CONNOR
Suffix:
Gender:F
Credentials:DAOM, PGDIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31907 E DAVIS RANCH RD
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-8818
Mailing Address - Country:US
Mailing Address - Phone:520-609-1766
Mailing Address - Fax:
Practice Address - Street 1:4525 E SKYLINE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1666
Practice Address - Country:US
Practice Address - Phone:520-609-1766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No251B00000XAgenciesCase Management