Provider Demographics
NPI:1336562891
Name:CLARKE-SPANGLER, CAITLIN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:CLARKE-SPANGLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:270 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1911
Mailing Address - Country:US
Mailing Address - Phone:650-327-8717
Mailing Address - Fax:
Practice Address - Street 1:270 GRANT AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1911
Practice Address - Country:US
Practice Address - Phone:650-327-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily