Provider Demographics
NPI:1245995067
Name:PARIS, CAITLIN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:PARIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:KULHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3685 RIVERS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8062
Mailing Address - Country:US
Mailing Address - Phone:843-953-4713
Mailing Address - Fax:
Practice Address - Street 1:3685 RIVERS AVE STE 201
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8062
Practice Address - Country:US
Practice Address - Phone:843-953-4713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27738363LF0000X
CA95019281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily