Healthcare Provider Details

I. General information

NPI: 1932013182
Provider Name (Legal Business Name): CAITLIN MATTHESON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

11 NOBSKA WAY
NANTUCKET MA
02554-2723
US

IV. Provider business mailing address

11 NOBSKA WAY
NANTUCKET MA
02554-2723
US

V. Phone/Fax

Practice location:
  • Phone: 603-303-5863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberRN2265485
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: