Healthcare Provider Details

I. General information

NPI: 1275255325
Provider Name (Legal Business Name): CAITLIN BROOKE SAENZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

615 18TH ST S
BIRMINGHAM AL
35233-1826
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-3438
  • Fax:
Mailing address:
  • Phone: 205-934-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-182458
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-182458
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: