| NPI | 1942904156 |
|---|---|
| Former Name | CAITLYNN LISTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023012430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023012430) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-06-01 |