Healthcare Provider Details

I. General information

NPI: 1023825726
Provider Name (Legal Business Name): CAITLIN R RABEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 CAPITAL MALL DR SW
OLYMPIA WA
98502-8654
US

IV. Provider business mailing address

1206 E MCBRYDE AVE
MONTESANO WA
98563-2016
US

V. Phone/Fax

Practice location:
  • Phone: 360-709-6230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70026522
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: