Healthcare Provider Details

I. General information

NPI: 1326632480
Provider Name (Legal Business Name): CAITLIN FUHRMAN WALCHONSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN ESTEE FUHRMAN RN

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 TOWNSHIP LINE ROAD
YARDLEY PA
19067-5564
US

IV. Provider business mailing address

777 TOWNSHIP LINE ROAD
YARDLEY PA
19067-5564
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-0775
  • Fax: 215-860-7754
Mailing address:
  • Phone: 215-860-0775
  • Fax: 215-860-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15418100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP032776
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: