Provider Demographics
NPI:1104585769
Name:CHARETTE-ZALEWSKI, CAITLIN CHRISTINE (MS, CPNP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:CHRISTINE
Last Name:CHARETTE-ZALEWSKI
Suffix:
Gender:F
Credentials:MS, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MANOLA ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-4465
Mailing Address - Country:US
Mailing Address - Phone:413-244-2725
Mailing Address - Fax:
Practice Address - Street 1:1117 NW HIGHWAY 41
Practice Address - Street 2:SUITE B
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052
Practice Address - Country:US
Practice Address - Phone:386-792-3864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014463363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics