Provider Demographics
NPI:1689288953
Name:DANIELS, CAITLIN SHAWN (DNP, FNP)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:SHAWN
Last Name:DANIELS
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 GREAT LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8964
Mailing Address - Country:US
Mailing Address - Phone:252-902-4542
Mailing Address - Fax:
Practice Address - Street 1:2395 HEMBY LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3776
Practice Address - Country:US
Practice Address - Phone:252-321-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily