Healthcare Provider Details

I. General information

NPI: 1144510363
Provider Name (Legal Business Name): MAUREEN CATHARINE KAPPLER RNC CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 04/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAVAHCS 0 151 3601 SOUTH 6TH AVENUE
TUCSON AZ
85723-0001
US

IV. Provider business mailing address

1487 W FRANKLIN ST
BISBEE AZ
85603-6211
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-1450
  • Fax: 520-838-3631
Mailing address:
  • Phone: 520-432-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN042414
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: