Provider Demographics
NPI:1578283412
Name:ARMIJO, CAITLIN CAROLINE
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:CAROLINE
Last Name:ARMIJO
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 1:4913 COMANCHE RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1183
Mailing Address - Country:US
Mailing Address - Phone:505-879-5212
Mailing Address - Fax:
Practice Address - Street 1:4913 COMANCHE RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1183
Practice Address - Country:US
Practice Address - Phone:505-879-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula