Healthcare Provider Details

I. General information

NPI: 1760354005
Provider Name (Legal Business Name): JANETTE CAUTHEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 WASHINGTONIAN BLVD STE 200-1065
GAITHERSBURG MD
20878-5389
US

IV. Provider business mailing address

4122 DUNBAR RD
PROSPECT OH
43342-9776
US

V. Phone/Fax

Practice location:
  • Phone: 833-366-3934
  • Fax:
Mailing address:
  • Phone: 614-570-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0039571
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: