Individual
CAITLYN MARIEL SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3738 LANDMARK DR STE A, LAFAYETTE, IN 47905-6655
(765) 807-2780
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28244460A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013304A
IN
Other
Enumeration date
09/18/2021
Last updated
11/15/2023
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