Provider Demographics
NPI:1346841970
Name:DELAWDER, CAITLYN ELIZABETH
Entity Type:Individual
Prefix:MISS
First Name:CAITLYN
Middle Name:ELIZABETH
Last Name:DELAWDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 COUNTY ROAD 56
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-8853
Mailing Address - Country:US
Mailing Address - Phone:740-237-2338
Mailing Address - Fax:
Practice Address - Street 1:2538 COUNTY ROAD 55
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-8893
Practice Address - Country:US
Practice Address - Phone:740-237-2338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide