Healthcare Provider Details

I. General information

NPI: 1679095327
Provider Name (Legal Business Name): CAITLIN M YAZEL CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL DR
LEBANON NH
03756-1000
US

IV. Provider business mailing address

ONE MEDICAL DRIVE
LEBANON NH
03756-0001
US

V. Phone/Fax

Practice location:
  • Phone: 603-256-2256
  • Fax: 603-640-1228
Mailing address:
  • Phone: 603-256-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number084274-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN1028043
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: