Healthcare Provider Details

I. General information

NPI: 1659794212
Provider Name (Legal Business Name): CAITLIN BURLEY CHAPMAN CAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN BURLEY CAA

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

1301 N TROY ST APT 1204
ARLINGTON VA
22201-2592
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7000
  • Fax:
Mailing address:
  • Phone: 706-951-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA000039
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: