# CAITLYN G PRUCINSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194720797
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA111020 | FL | — |
| 363A00000X | Physician Assistant | PA91111020 | FL | — |
| 363AM0700X | Medical Physician Assistant | 10000698A | IN | — |
| 363AS0400X | Surgical Physician Assistant | 10000698 | IN | — |
| 363AS0400X | Surgical Physician Assistant | 10000698A | IN | — |
| 363AS0400X | Surgical Physician Assistant | PA9111020 | FL | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 10/26/2020