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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAITLIN L TILLACK, ANP

Active

CAITLIN L TILLACK, ANP is a Gerontological Nurse Practitioner healthcare provider located in CANANDAIGUA, New York. NPI 1124588660 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · CANANDAIGUA, NY

Registration Details

NPI Number
1124588660
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2019 (7.4381710255788 yrs)
Last Updated
Mar 18, 2025
License
309029 (NY)

Practice Information

Address
401 S MAIN ST STE 200
CANANDAIGUA, NY, 144242157
Browse NY providers · Browse ZIP 14424
Phone
5853941875
Fax
5853941878
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in CANANDAIGUA, NY

Name Credential NPI
MS. CHERYL ANN DRISCOLL N.P. 1366471716
MS. LINDA C. HIMMEL MSN, ARNP, BC 1104938828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.