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NPI Code Detail

MEDICARE: CAITLYN SHEA KRALL PNP

MEDICARE: CAITLYN SHEA KRALL PNP
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
1363LP0200XPediatric Nurse PractitionerAP60989998WA

General Provider Information

NPI Number : 1578110045
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN SHEA KRALL PNP
Provider Business Mailing Address
First Line : 116 BRALEY JENKINS RD
Second Line :
City : CENTERVILLE
State : MA
Zip : 02632-7109
Country : US
Telephone Number : 508-776-5381
Fax Number :
Provider Business Practice Location Address
First Line : 4800 SAND POINT WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number : 206-987-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2019
Last Update Date : 01/26/2026

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