Healthcare Provider Details

I. General information

NPI: 1275185290
Provider Name (Legal Business Name): CAITLIN R LAWSHE PMHNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 422
RIDGWAY CO
81432-0422
US

IV. Provider business mailing address

PO BOX 422
RIDGWAY CO
81432-0422
US

V. Phone/Fax

Practice location:
  • Phone: 970-645-7795
  • Fax: 970-638-2177
Mailing address:
  • Phone: 970-645-7795
  • Fax: 970-638-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0199174
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0994899
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: