Individual provider · Type 1 NPI
Caitlin Fong
Family Nurse Practitioner · Ellicott City, MD
NPI number
1154029213
Active
Practice location
2850 N Ridge Rd Ste 103
Ellicott City, MD 21043-3396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R239194 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | R239194 (MD) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1154029213
Caitlin Fong's National Provider Identifier is 1154029213, issued on Feb 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellicott City, MD. The record was last updated on Feb 1, 2024.