Individual
CAITLAN ANN MUTHYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP
Contact information
Practice address
111 HUNDERTMARK RD, CHASKA, MN 55318-4551
(952) 361-2450
Mailing address
111 HUNDERTMARK RD, CHASKA, MN 55318-4551
(952) 361-2450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11665
MN
363LF0000X
Family Nurse Practitioner
F08230671
MN
Other
Enumeration date
08/21/2023
Last updated
10/02/2024
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