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NPI Code Detail

MEDICARE: KAITLIN ELIZABETH CVIJANOVICH

MEDICARE: KAITLIN ELIZABETH CVIJANOVICH
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
1363L00000XNurse Practitioner5023165NC

General Provider Information

NPI Number : 1639065832
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ELIZABETH CVIJANOVICH
Provider Business Mailing Address
First Line : 2121 FRISSELL AVE
Second Line :
City : APEX
State : NC
Zip : 27502-9070
Country : US
Telephone Number : 919-457-6630
Fax Number :
Provider Business Practice Location Address
First Line : 2607 W ARROWOOD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-6134
Country : US
Telephone Number : 704-588-0232
Fax Number : 704-588-0445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 04/23/2026

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Directions to “ KAITLIN ELIZABETH CVIJANOVICH ” Practice Location

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