NPI 1245063429

Caitlin van Dieden

Practitioner Pharmacy Technician Henderson, NV

Practice location

Address: 1360 W Horizon Ridge Pkwy, Henderson, NV 89012-2462
Phone: (702) 568-9459
Mailing address: 1580 Latigo Dr, Henderson, NV 89002-8749

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1245063429
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2024
Record last updated: 22 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.