Provider Demographics
NPI:1154789972
Name:TREMBLAY, CAITLIN (NP)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:TREMBLAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 S BROADWAY
Mailing Address - Street 2:STE 590
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2601
Mailing Address - Country:US
Mailing Address - Phone:303-703-8583
Mailing Address - Fax:
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:STE 590
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2601
Practice Address - Country:US
Practice Address - Phone:360-489-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily