Provider Demographics
NPI:1376817668
Name:CHENEY, CAITLIN (MSN, APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:CHENEY
Suffix:
Gender:F
Credentials:MSN, APN, FNP-BC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APN, FNP-BC
Mailing Address - Street 1:16519 S ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-2606
Mailing Address - Country:US
Mailing Address - Phone:630-646-5172
Mailing Address - Fax:630-646-5170
Practice Address - Street 1:16519 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-2606
Practice Address - Country:US
Practice Address - Phone:630-646-5172
Practice Address - Fax:630-646-5170
Is Sole Proprietor?:No
Enumeration Date:2012-03-04
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004391A363LF0000X
IL209.009420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily