Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 239846 | AZ |
Y | 207R00000X | Internist | 239846 | AZ |
Y | 111NI0900X | Internist | 239846 | AZ |
N | 207RH0002X | Hospice and Palliative Medicine | 239846 | AZ |
NPI | 1265064539 |
---|---|
Provider Name | Caitlin Marie Woerner |
First Address | Phoenix, AZ 85004-1202 |
Second Address | Phoenix, AZ 85004-1202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2020 |
Last Update Date | 08/09/2021 |