MEDICARE: CAITLIN RAE CLARIDGE MD

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	207V00000X	Obstetrics & Gynecology Physician	29405	NV
2	207V00000X	Obstetrics & Gynecology Physician	E-15158	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29405	OTHER	NV	LICENSE
2	15682788	OTHER	NV	CAQH

General Provider Information

NPI Number	:	1922503747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN RAE CLARIDGE MD

Provider Business Mailing Address
First Line	:	1155 MILL ST # M14
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-1576
Country	:	US
Telephone Number	:	775-982-5640
Fax Number	:	775-982-3901

Provider Business Practice Location Address
First Line	:	901 E 2ND ST STE 300
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-1175
Country	:	US
Telephone Number	:	775-982-5640
Fax Number	:	775-982-3901

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

Provider Enumeration Date	:	03/25/2018
Last Update Date	:	05/26/2026

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Directions to “ CAITLIN RAE CLARIDGE MD” Practice Location

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