Individual provider · Type 1 NPI

Caitlin Provost Conlon

Nurse Practitioner · Millburn, NJ

NPI number 1003572579 Active

Practice location

33 Bleeker St
Millburn, NJ 07041-1459

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ15336900 (NJ)
Family Nurse Practitioner 363LF0000X26NR26902600 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003572579

Caitlin Provost Conlon's National Provider Identifier is 1003572579, issued on Nov 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Millburn, NJ. The record was last updated on Sep 3, 2025.