Healthcare Provider Details

I. General information

NPI: 1801710124
Provider Name (Legal Business Name): CAITLIN MARANELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 MILES ST
CHIPPEWA FALLS WI
54729-1923
US

IV. Provider business mailing address

1120 DOVER ST
CHIPPEWA FALLS WI
54729-1787
US

V. Phone/Fax

Practice location:
  • Phone: 715-726-2417
  • Fax:
Mailing address:
  • Phone: 507-530-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26365230
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: