MEDICARE: MRS. CAITLIN MELISSA GERRITY RN

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	363L00000X	Nurse Practitioner	AP61069777	WA
2	163W00000X	Registered Nurse	RN60798159	WA

General Provider Information

NPI Number	:	1891330643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLIN MELISSA GERRITY RN

Provider Business Mailing Address
First Line	:	PO BOX 5127
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98206-5127
Country	:	US
Telephone Number	:	206-401-3175
Fax Number	:	206-401-3201

Provider Business Practice Location Address
First Line	:	126 NW CANAL ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4970
Country	:	US
Telephone Number	:	425-486-1500
Fax Number	:	206-775-7215

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

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	10/06/2025

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