Individual
CAITLYN MIERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062657
PA
363A00000X
Physician Assistant
OA006794
PA
Other
Enumeration date
01/16/2019
Last updated
01/23/2024
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