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NPI Code Detail

MEDICARE: REBECCA CAPRA RN, BSN, RNC-NIC

MEDICARE: REBECCA CAPRA RN, BSN, RNC-NIC
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
1163WC0200XCritical Care Medicine Registered NurseRN240321GA

General Provider Information

NPI Number : 1962350447
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CAPRA RN, BSN, RNC-NIC
Provider Business Mailing Address
First Line : 137 RIVER BIRCH DR
Second Line :
City : CARROLLTON
State : GA
Zip : 30116-1860
Country : US
Telephone Number : 770-833-2738
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 404-785-7357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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