Individual
CAPRICE NICHOLE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
870 BAY SHORE RD, GREENPORT, NY 11944-2703
(631) 431-2241
Mailing address
PO BOX 152, GREENPORT, NY 11944-0152
(631) 431-2241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454775-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454775-1
—
NY
Enumeration date
01/10/2008
Last updated
06/12/2012
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