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NPI Code Detail

MEDICARE: MIA CAPPARELLI

MEDICARE: MIA CAPPARELLI
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1760311559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA CAPPARELLI
Provider Business Mailing Address
First Line : 12 NILES ST
Second Line :
City : WESTERLY
State : RI
Zip : 02891-1660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 593 EDDY ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-4923
Country : US
Telephone Number : 401-444-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MIA CAPPARELLI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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