Provider Demographics
NPI:1235661257
Name:CUMMINGS, CAITLIN ELIZABETH (ND)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 TENNEY MOUNTAIN HWY STE 144
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-3156
Mailing Address - Country:US
Mailing Address - Phone:603-726-1551
Mailing Address - Fax:
Practice Address - Street 1:607 TENNEY MOUNTAIN HWY STE 144
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3156
Practice Address - Country:US
Practice Address - Phone:603-726-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60689190175F00000X
NH136175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath