Provider Demographics
NPI:1871122697
Name:TAYLOR, CAITLIN PRATT (NP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:PRATT
Last Name:TAYLOR
Suffix:
Gender:
Credentials:NP
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Mailing Address - Street 1:3158 FREEDOM DR STE 3102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-0014
Mailing Address - Country:US
Mailing Address - Phone:704-971-7099
Mailing Address - Fax:
Practice Address - Street 1:10710 SIKES PL STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8194
Practice Address - Country:US
Practice Address - Phone:704-799-4909
Practice Address - Fax:704-799-7695
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5013043208M00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist