Provider Demographics
NPI:1235866377
Name:HARWEGER, CAITLYN (PA-C)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:HARWEGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8324 LAKESHORE CIR APT 3925
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4838
Mailing Address - Country:US
Mailing Address - Phone:309-532-2436
Mailing Address - Fax:
Practice Address - Street 1:5492 N RONALD REAGAN PKWY
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-5618
Practice Address - Country:US
Practice Address - Phone:317-456-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant