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NPI Code Detail

MEDICARE: CAPRI CREEL RUTLAND FNP-C

MEDICARE:   CAPRI CREEL RUTLAND  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner14261301-4405UT
2363LF0000XFamily Nurse Practitioner209033229IL
3363LF0000XFamily Nurse Practitioner1227705TX
4363LF0000XFamily Nurse Practitioner39197TN
5363LF0000XFamily Nurse PractitionerGAA-NP004900GA
6363LF0000XFamily Nurse PractitionerAPRN11041246FL
7363LF0000XFamily Nurse Practitioner907890MS
8363LF0000XFamily Nurse Practitioner87112NM
9363LF0000XFamily Nurse Practitioner71017137AIN
10363LF0000XFamily Nurse Practitioner1-076595AL
11363LF0000XFamily Nurse Practitioner5023225NC
12363LF0000XFamily Nurse PractitionerSP033450PA
13363LF0000XFamily Nurse PractitionerAPRN.CNP.0039583OH
14363LF0000XFamily Nurse Practitioner234277AR
15363LF0000XFamily Nurse Practitioner2025031011MO

General Provider Information

NPI Number : 1578930301
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAPRI CREEL RUTLAND FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 1 PERIMETER PARK S STE 195A
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-2327
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 04/15/2026

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Directions to “ CAPRI CREEL RUTLAND FNP-C” Practice Location

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