MEDICARE: KRISTEN CAPO ARNP

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	363L00000X	Nurse Practitioner	9193842	FL

General Provider Information

NPI Number	:	1568760189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN CAPO ARNP

Provider Business Mailing Address
First Line	:	9702 HIDDEN COVE CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 W NEPTUNE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5840
Country	:	US
Telephone Number	:	813-254-7727
Fax Number	:

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

Provider Enumeration Date	:	03/06/2011
Last Update Date	:	03/06/2011

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Directions to “ KRISTEN CAPO ARNP” Practice Location

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