Provider Demographics
NPI:1174246383
Name:DEWIT, CAITLIN ELIZABETH (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:DEWIT
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MRS
Other - First Name:CAITLIN
Other - Middle Name:ELIZZBETH
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44570 296TH ST
Mailing Address - Street 2:
Mailing Address - City:IRENE
Mailing Address - State:SD
Mailing Address - Zip Code:57037-5231
Mailing Address - Country:US
Mailing Address - Phone:605-660-4125
Mailing Address - Fax:855-719-2549
Practice Address - Street 1:5585 ERINDALE DR STE 204
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6969
Practice Address - Country:US
Practice Address - Phone:719-345-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202214725NP-PP363LP0808X
COC-APN.0004613-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health