Healthcare Provider Details

I. General information

NPI: 1376064253
Provider Name (Legal Business Name): CAITLIN MARY TRAINOR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E SWEDESFORD RD
MALVERN PA
19355-1436
US

IV. Provider business mailing address

907 GEORGE PITT DR
DOWNINGTOWN PA
19335-4144
US

V. Phone/Fax

Practice location:
  • Phone: 484-318-2268
  • Fax:
Mailing address:
  • Phone: 215-779-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012315
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019662
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN626350
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0071456
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: