Healthcare Provider Details

I. General information

NPI: 1386631984
Provider Name (Legal Business Name): PATRICIA E CAPLINGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 SKAGGS RD
BRANSON MO
65616-2031
US

IV. Provider business mailing address

23241 RED OAK DR
LEBANON MO
65536-5895
US

V. Phone/Fax

Practice location:
  • Phone: 417-335-7000
  • Fax: 417-335-1507
Mailing address:
  • Phone: 417-532-5838
  • Fax: 417-532-5185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN72622
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: