Individual
KAITLIN EILEEN STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3270 HILLCREST ROAD, MEDFORD, OR 97504
(541) 779-1672
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8458
(541) 779-1672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707765NP-PP
OR
Other
Enumeration date
08/28/2017
Last updated
06/06/2025
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