IndividualActive
Caitlin Bonomo, CPNP-AC
NPI 1699389858 · Pediatric Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1699389858
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- R206319 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-6453
Approximate (ZIP-level) locationGet directions
Mailing address
11 Jordan Mill Ct
White Hall, MD 21161-9032
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.