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NPI Code Detail

MEDICARE: GLENDA DEE CAPPS REGISTERED NURSE

MEDICARE: GLENDA DEE CAPPS REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseRN58052ME
2163WC0400XCase Management Registered Nurse788363CA
3163WI0600XInfection Control Registered NurseRN58052ME
4163WI0600XInfection Control Registered Nurse788363CA
5163WM0705XMedical-Surgical Registered NurseRN58052ME
6163WM0705XMedical-Surgical Registered Nurse788363CA
7163WP0809XAdult Psychiatric/Mental Health Registered Nurse788363CA
8163WW0101XAmbulatory Women's Health Care Registered NurseRN58052ME
9163WA0400XAddiction (Substance Use Disorder) Registered NurseRN58052ME

General Provider Information

NPI Number : 1114697141
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA DEE CAPPS REGISTERED NURSE
Provider Business Mailing Address
First Line : 124 CARVELL RD
Second Line :
City : MAPLETON
State : ME
Zip : 04757-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 NORTH ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-2296
Country : US
Telephone Number : 207-707-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “ GLENDA DEE CAPPS REGISTERED NURSE” Practice Location

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