Healthcare Provider Details

I. General information

NPI: 1992684864
Provider Name (Legal Business Name): CAITLYN NICOLE CONLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 HUDSON RD
CEDAR FALLS IA
50614-0065
US

IV. Provider business mailing address

3215 NE 5TH LN
ANKENY IA
50021-8137
US

V. Phone/Fax

Practice location:
  • Phone: 319-759-4065
  • Fax:
Mailing address:
  • Phone: 319-759-4065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: