Provider Demographics
NPI:1083137186
Name:DONOHOE, CAITLIN J
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:J
Last Name:DONOHOE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:J
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:DE
Mailing Address - Zip Code:19931-9708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:424 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1462
Practice Address - Country:US
Practice Address - Phone:302-645-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0047034163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA