Healthcare Provider Details

I. General information

NPI: 1679863260
Provider Name (Legal Business Name): BRITNI HISAE CAPLIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 GARRISON DR
MURFREESBORO TN
37129-2598
US

IV. Provider business mailing address

1272 GARRISON DR
MURFREESBORO TN
37129-2598
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-4480
  • Fax: 615-895-6212
Mailing address:
  • Phone: 615-893-4480
  • Fax: 615-895-6212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number266832
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD59018
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: