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NPI Code Detail

MEDICARE: KAREN ANN CAPUTO CRNP

MEDICARE: KAREN ANN CAPUTO CRNP
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
1363LN0000XNeonatal Nurse PractitionerSP009727PA

General Provider Information

NPI Number : 1205160611
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN CAPUTO CRNP
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-808-8653
Fax Number : 570-808-8658
Provider Business Practice Location Address
First Line : 1000 E MOUNTAIN DR
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 570-808-8653
Fax Number : 570-808-8658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2009
Last Update Date : 01/14/2026

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