MEDICARE: MS. CAITLIN CHRISTINE VANDERMOLEN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1180701	TX
2	363LF0000X	Family Nurse Practitioner	95038250	CA

General Provider Information

NPI Number	:	1275482085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAITLIN CHRISTINE VANDERMOLEN FNP-C

Provider Business Mailing Address
First Line	:	1006 CARDINAL LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-6129
Country	:	US
Telephone Number	:	949-887-8287
Fax Number	:

Provider Business Practice Location Address
First Line	:	1006 CARDINAL LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-6129
Country	:	US
Telephone Number	:	949-887-8287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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