Provider Demographics
NPI:1972216943
Name:FRIZZIOLA, CAITLYN (APN)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:FRIZZIOLA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3050
Mailing Address - Country:US
Mailing Address - Phone:732-566-6400
Mailing Address - Fax:732-583-2483
Practice Address - Street 1:625 HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3050
Practice Address - Country:US
Practice Address - Phone:732-566-6400
Practice Address - Fax:732-583-2483
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAG01230014363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner