Healthcare Provider Details

I. General information

NPI: 1841540184
Provider Name (Legal Business Name): AMY CAPRARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GALLETTI WAY
SPARKS NV
89431-5564
US

IV. Provider business mailing address

480 GALLETTI WAY
SPARKS NV
89431-5564
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-2101
  • Fax:
Mailing address:
  • Phone: 775-688-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: