Provider Demographics
NPI:1649956269
Name:SCHROEDER, CAITLIN LEE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:LEE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:LEE
Other - Last Name:WITTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:508 W VANDAMENT AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4655
Mailing Address - Country:US
Mailing Address - Phone:405-350-8100
Mailing Address - Fax:
Practice Address - Street 1:5100 E HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:TUTTLE
Practice Address - State:OK
Practice Address - Zip Code:73089-8581
Practice Address - Country:US
Practice Address - Phone:405-381-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK213792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily