Individual
MRS. CAITLYN SHELBY MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5310 W THUNDERBIRD RD # 208-210, GLENDALE, AZ 85306-4706
(623) 547-2600
Mailing address
8829 W MARIPOSA GRANDE, PEORIA, AZ 85383-1203
(602) 653-6960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP257449
AZ
Other
Enumeration date
05/18/2021
Last updated
05/10/2022
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