Provider Demographics
NPI:1578150447
Name:MORRELL, CAITLYN ELIZABETH (NP-C)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:ELIZABETH
Last Name:MORRELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:339 E ANTIETAM ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5767
Mailing Address - Country:US
Mailing Address - Phone:304-393-5094
Mailing Address - Fax:855-631-6386
Practice Address - Street 1:4540 OLD 126
Practice Address - Street 2:
Practice Address - City:WARFORDSBURG
Practice Address - State:PA
Practice Address - Zip Code:17267-7934
Practice Address - Country:US
Practice Address - Phone:240-925-9366
Practice Address - Fax:855-631-6386
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV110948207Q00000X
PASP024549363LF0000X
MDR205172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine