Provider Demographics
NPI:1255819801
Name:IRBY, CAITLIN WYNNE (CAA)
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:WYNNE
Last Name:IRBY
Suffix:
Gender:F
Credentials:CAA
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Mailing Address - Street 1:14401 TALON GROVE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-7674
Mailing Address - Country:US
Mailing Address - Phone:661-301-9206
Mailing Address - Fax:
Practice Address - Street 1:7600 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4302
Practice Address - Country:US
Practice Address - Phone:713-456-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant