Caitlyn Alley Witwicki, RN
Individual provider Active NPI Registered Nurse · Eliot, ME
NPI 1134834989 · NPPES record last updated Jun 22, 2024
Key facts
- NPI
- 1134834989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN87930 (ME)
- Practice address
- 12B Punkintown Rd
Eliot, ME 03903-1214 - Phone
- (207) 319-0804
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN87930 | ME | MD | Registered Nurse |
| CNA96353 | ME | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN87930 | ME | Yes |
| Nurse's Aide | 376K00000X | CNA96353 | ME |
Addresses
Primary practice location
12B Punkintown Rd
Eliot, ME 03903-1214
Mailing address
12B Punkintown Rd
Eliot, ME 03903-1214
Phone (207) 319-0804
Other providers in Eliot, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.