Phelan, Caitlin

Phelan, Caitlin is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phelan, Caitlin can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
915 N Grand Blvd Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009460 Illinois

Profile Details

NPI number 1548526361
LBN Legal business name Phelan, Caitlin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Feb 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548526361 NPPES
Illinois Other 209009460 LICENSE

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