Provider Demographics
NPI:1568117851
Name:CANTANDO, CAITLIN ANN (FNP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ANN
Last Name:CANTANDO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8824 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1869
Mailing Address - Country:US
Mailing Address - Phone:559-360-1256
Mailing Address - Fax:
Practice Address - Street 1:9483 N FORT WASHINGTON RD STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-5938
Practice Address - Country:US
Practice Address - Phone:559-797-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily