Healthcare Provider Details

I. General information

NPI: 1487585253
Provider Name (Legal Business Name): CAITLYN WEINSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2073 NATIVE CHESTNUT RD
HAMPSTEAD MD
21074-1537
US

IV. Provider business mailing address

2073 NATIVE CHESTNUT RD
HAMPSTEAD MD
21074-1537
US

V. Phone/Fax

Practice location:
  • Phone: 443-602-4856
  • Fax:
Mailing address:
  • Phone: 443-602-4856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR278139
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: