Provider Demographics
NPI:1225713266
Name:CONNER, CAITLIN BARSUMIAN (APRN, NNP-C)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:BARSUMIAN
Last Name:CONNER
Suffix:
Gender:F
Credentials:APRN, NNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 PURPLE RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-7404
Mailing Address - Country:US
Mailing Address - Phone:210-544-6692
Mailing Address - Fax:
Practice Address - Street 1:7038 PURPLE RDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-7404
Practice Address - Country:US
Practice Address - Phone:210-544-6692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX908595163WN0002X
TX1129712363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care