Provider Demographics
NPI:1710325337
Name:WEBB, CAITLIN (CRNP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 WEST LINCOLN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2503
Mailing Address - Country:US
Mailing Address - Phone:610-873-5437
Mailing Address - Fax:484-879-6395
Practice Address - Street 1:690 WEST LINCOLN HIGHWAY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2503
Practice Address - Country:US
Practice Address - Phone:610-873-5437
Practice Address - Fax:484-879-6395
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012886363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner