Provider Demographics
NPI:1487106316
Name:HARRIS, CAITLIN O (APRN)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:O
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:112 QUARRY ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4816
Mailing Address - Country:US
Mailing Address - Phone:203-372-4065
Mailing Address - Fax:203-372-1644
Practice Address - Street 1:112 QUARRY ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4816
Practice Address - Country:US
Practice Address - Phone:203-372-4065
Practice Address - Fax:203-372-1644
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT006697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily