Individual
CAITLIN PROVOST CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 BLEEKER ST, MILLBURN, NJ 07041-1459
(973) 330-0810
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15336900
NJ
363LF0000X
Family Nurse Practitioner
26NR26902600
NJ
Other
Enumeration date
11/09/2021
Last updated
09/03/2025
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