| Doctor Name: | CAITLIN MARIE AVERILL |
| NPI Number: | 1003200791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R196399 |
| Business Practice Address: | 114 Business Center Dr Reisterstown, MD - 211361229 |
| Business Phone Number: | 4108332772 |
| Business Fax Number: | 4105264897 |
| Mailing Address: | 114 Business Center Dr, REISTERSTOWN |
| State: | MD |
| Postal Code: | 211361229 |
| Phone Number: | 4108332772 |
| Fax Number: | 4105264897 |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R196399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |