Individual
CAITLIN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3550
(774) 442-6715
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2276812
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2276812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153280A
—
MA
Enumeration date
03/31/2018
Last updated
03/21/2022
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