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NPI Code Detail

MEDICARE: CAITLIN JENNA ROBLEDO FNP-C

MEDICARE: CAITLIN JENNA ROBLEDO FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1208263TX
2363LF0000XFamily Nurse Practitioner2023031632MO

General Provider Information

NPI Number : 1417723362
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN JENNA ROBLEDO FNP-C
Provider Business Mailing Address
First Line : PO BOX 802843
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-2843
Country : US
Telephone Number : 417-730-6430
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 2505 SCRIPTURE ST STE 100
Second Line :
City : DENTON
State : TX
Zip : 76201-2481
Country : US
Telephone Number : 940-320-2188
Fax Number : 940-320-5643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2023
Last Update Date : 03/04/2026

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Directions to “ CAITLIN JENNA ROBLEDO FNP-C” Practice Location

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