Individual
CAITLIN DELANEY POELKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3351 EASTBROOK DR STE 200, FORT COLLINS, CO 80525-5744
(970) 500-0164
Mailing address
2614 AVENGER PL UNIT 3, FORT COLLINS, CO 80524-4907
(301) 275-8300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C05841
MD
363A00000X
Physician Assistant
Primary
PA.0005134
CO
363AM0700X
Medical Physician Assistant
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153459
—
CO
01
—
PA.0005134
COLORADO STATE LICENSE
CO
Enumeration date
08/28/2015
Last updated
05/07/2025
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