Provider Demographics
NPI:1477956951
Name:JARVIS, CAITLIN MAUREEN (FNP-BC, ARNP)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:MAUREEN
Last Name:JARVIS
Suffix:
Gender:F
Credentials:FNP-BC, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NW GILMAN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2422
Mailing Address - Country:US
Mailing Address - Phone:425-449-9393
Mailing Address - Fax:206-826-6399
Practice Address - Street 1:160 NW GILMAN BLVD STE C
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2422
Practice Address - Country:US
Practice Address - Phone:425-449-9393
Practice Address - Fax:206-826-6399
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60471971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily