Provider Demographics
NPI:1053799312
Name:BOND, CAITLIN DANIELLE (RN)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:DANIELLE
Last Name:BOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 OLIVER RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2144
Mailing Address - Country:US
Mailing Address - Phone:717-756-3534
Mailing Address - Fax:
Practice Address - Street 1:74 OLIVER RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2144
Practice Address - Country:US
Practice Address - Phone:717-756-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN645756163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical