Provider Demographics
NPI:1902323512
Name:FRIEND, CAITRIN MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:CAITRIN
Middle Name:MARIE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEDICINE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-860-5015
Mailing Address - Fax:919-681-8147
Practice Address - Street 1:3480 WAKE FOREST RD STE 5400
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7376
Practice Address - Country:US
Practice Address - Phone:919-860-5015
Practice Address - Fax:919-681-8147
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07492363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant