Provider Demographics
NPI:1689440216
Name:MCGUIRE, CAITLIN (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 SEA MIST DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-6286
Mailing Address - Country:US
Mailing Address - Phone:931-241-7794
Mailing Address - Fax:
Practice Address - Street 1:577 SEA MIST DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-6286
Practice Address - Country:US
Practice Address - Phone:931-241-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3785510171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach