Provider Demographics
NPI:1164411732
Name:CAUTILLI, CAROLYN MARIA (CRNP)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:MARIA
Last Name:CAUTILLI
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:305 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8025
Mailing Address - Country:US
Mailing Address - Phone:215-579-7059
Mailing Address - Fax:215-504-2587
Practice Address - Street 1:40 MARTIN GROSS DR
Practice Address - Street 2:WOODS SERVICES
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1616
Practice Address - Country:US
Practice Address - Phone:215-750-4061
Practice Address - Fax:215-750-4286
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2015-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP010966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily