Provider Demographics
NPI:1255151403
Name:NIXON, CAITLIN MARIE (CNM)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MARIE
Last Name:NIXON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 VZ COUNTY ROAD 2316
Mailing Address - Street 2:
Mailing Address - City:EUSTACE
Mailing Address - State:TX
Mailing Address - Zip Code:75124-7432
Mailing Address - Country:US
Mailing Address - Phone:214-794-7062
Mailing Address - Fax:
Practice Address - Street 1:2980 VZ COUNTY ROAD 2316
Practice Address - Street 2:
Practice Address - City:EUSTACE
Practice Address - State:TX
Practice Address - Zip Code:75124-7432
Practice Address - Country:US
Practice Address - Phone:214-794-7062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCNM09776176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife