Healthcare Provider Details

I. General information

NPI: 1306487442
Provider Name (Legal Business Name): CAITLIN FRENCH MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 HURFFVILLE CROSSKEYS RD STE 202
SEWELL NJ
08080-9344
US

IV. Provider business mailing address

405 HURFFVLE CR KYS RD STE 202
SEWELL NJ
08080-9344
US

V. Phone/Fax

Practice location:
  • Phone: 856-589-1414
  • Fax:
Mailing address:
  • Phone: 856-589-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00069001
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: