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NPI Code Detail

MEDICARE: MRS. CAITLIN MARIE BRICKMAN NP-C

MEDICARE: MRS. CAITLIN MARIE BRICKMAN NP-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
1363LA2200XAdult Health Nurse Practitioner95006443CA
2363LF0000XFamily Nurse Practitioner95006443CA

General Provider Information

NPI Number : 1902188303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAITLIN MARIE BRICKMAN NP-C
Provider Business Mailing Address
First Line : 2364 MOONLIGHT GLN
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-3845
Country : US
Telephone Number : 619-300-0422
Fax Number :
Provider Business Practice Location Address
First Line : 1706 DESCANSO AVE
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2514
Country : US
Telephone Number : 760-280-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 03/13/2026

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