Provider Demographics
NPI:1790667780
Name:DUNCKEL, CAITLIN (FNP)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:DUNCKEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1771 ESTATES WAY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4124
Mailing Address - Country:US
Mailing Address - Phone:530-966-4308
Mailing Address - Fax:
Practice Address - Street 1:284 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2216
Practice Address - Country:US
Practice Address - Phone:530-846-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95035964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily