| Doctor Name: | CAITLYN MOLINO PATRICK |
| NPI Number: | 1053548826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 157015 |
| Business Practice Address: | 3643 N Roxboro St Durham, NC - 277042702 |
| Business Phone Number: | 9194708490 |
| Business Fax Number: | 9194708469 |
| Mailing Address: | 5213 S Alston Ave, DURHAM |
| State: | NC |
| Postal Code: | 277134430 |
| Phone Number: | 9196204917 |
| Fax Number: | 9196204921 |
| NPI Enumeration Date: | 06/18/2009 |
| NPI Last Update Date: | 06/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 157015 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |