Provider Demographics
NPI:1912340969
Name:MACLAURIN, CAITLIN SIERRA (RN, ARNP-BC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:SIERRA
Last Name:MACLAURIN
Suffix:
Gender:F
Credentials:RN, ARNP-BC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:SIERRA
Other - Last Name:HABERFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, ARNP-BC
Mailing Address - Street 1:2019 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5012
Mailing Address - Country:US
Mailing Address - Phone:415-964-1548
Mailing Address - Fax:
Practice Address - Street 1:3260 KERNER BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-4840
Practice Address - Country:US
Practice Address - Phone:415-448-1500
Practice Address - Fax:415-798-3198
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA813006163WP0807X
CA22942363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent