Healthcare Provider Details

I. General information

NPI: 1972468718
Provider Name (Legal Business Name): CAITLIN POZZESSERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E MAIN ST
MIDDLETOWN DE
19709-1482
US

IV. Provider business mailing address

29 COUNTRY RUN
THORNTON PA
19373-1121
US

V. Phone/Fax

Practice location:
  • Phone: 302-287-0014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011007
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: