MEDICARE: CAITLIN A CRAFT APRN

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
1	363LN0000X	Neonatal Nurse Practitioner	263716	AZ

General Provider Information

NPI Number	:	1689245086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN A CRAFT APRN

Provider Business Mailing Address
First Line	:	810 BURR AVE APT 215
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3582
Country	:	US
Telephone Number	:	419-721-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3908
Country	:	US
Telephone Number	:	614-788-9720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	02/09/2026

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