Individual provider · Type 1 NPI
Caitlin Alonzo
Nurse Practitioner · O Fallon, IL
Practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Mailing address
212 Harbor Vw
Fenton, MO 63026-7515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209034125 (IL) |
| Family Nurse Practitioner | 363LF0000X | 2025008810 (MO) |
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 1083576243
Caitlin Alonzo's National Provider Identifier is 1083576243, issued on Nov 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in O Fallon, IL. The record was last updated on Mar 23, 2026.