Healthcare Provider Details

I. General information

NPI: 1063375533
Provider Name (Legal Business Name): JULIA CAPONE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MUNICIPAL DR
THORNDALE PA
19372-1058
US

IV. Provider business mailing address

615 HOWARD RD
WEST CHESTER PA
19380-3977
US

V. Phone/Fax

Practice location:
  • Phone: 610-383-6300
  • Fax:
Mailing address:
  • Phone: 717-606-8104
  • Fax: 717-606-8104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number616628
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: