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NPI Code Detail

MEDICARE: CAITLIN WETZLER CRNP

MEDICARE:   CAITLIN  WETZLER  CRNP
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 PractitionerSP021346PA

General Provider Information

NPI Number : 1952919771
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN WETZLER CRNP
Provider Business Mailing Address
First Line : 2028 RITTENHOUSE SQ APT 103
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5621
Country : US
Telephone Number : 610-574-9363
Fax Number :
Provider Business Practice Location Address
First Line : 2028 RITTENHOUSE SQ APT 103
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-5621
Country : US
Telephone Number : 610-574-9363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2020
Last Update Date : 07/17/2020

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Directions to “ CAITLIN WETZLER CRNP” Practice Location

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