Healthcare Provider Details

I. General information

NPI: 1174265151
Provider Name (Legal Business Name): CAITRIN TEMMEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 JOAQUIN RD
MOUNTAIN VIEW CA
94043-1242
US

IV. Provider business mailing address

1010 JOAQUIN RD
MOUNTAIN VIEW CA
94043-1242
US

V. Phone/Fax

Practice location:
  • Phone: 888-201-1937
  • Fax:
Mailing address:
  • Phone: 844-407-7557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022034478
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024811
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: