MEDICARE: MRS. KIMBERLY CAGGIANO NP-C

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
1	363LA2100X	Acute Care Nurse Practitioner	AG0713050	NC

General Provider Information

NPI Number	:	1538596622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY CAGGIANO NP-C

Provider Business Mailing Address
First Line	:	CB 7206 BURNETT WOMACK BLDG
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4008 BURNETT WOMACK BUILDING CB #7206
Second Line	:	UNC DEPARTMENT OF SURGERY DIVISION OF TRAUMA AND CC
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7228
Country	:	US
Telephone Number	:	919-966-4389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2013
Last Update Date	:	09/17/2014

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