Individual
CAITLIN M STATHOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
970 E WASHINGTON ST, MEDINA, OH 44256-3332
(330) 721-5700
Mailing address
970 E WASHINGTON ST, MEDINA, OH 44256-3332
(330) 721-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0030692
OH
363L00000X
Nurse Practitioner
Primary
0030692
OH
363LF0000X
Family Nurse Practitioner
0030692
OH
Other
Enumeration date
04/20/2022
Last updated
06/07/2024
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