Provider Demographics
NPI:1285246132
Name:LANDER, CAITLIN N (FNP-C)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:N
Last Name:LANDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MAYSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-6172
Mailing Address - Country:US
Mailing Address - Phone:740-455-3112
Mailing Address - Fax:740-454-1363
Practice Address - Street 1:751 FOREST AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2868
Practice Address - Country:US
Practice Address - Phone:740-450-1687
Practice Address - Fax:740-450-1693
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily