Individual
ASHLEY LYNN DECAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 GOLDEN GATE PLZ, MAYFIELD HEIGHTS, OH 44124-3415
(440) 499-4076
Mailing address
1501 GOLDEN GATE PLZ, MAYFIELD HEIGHTS, OH 44124-3415
(440) 499-4076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028955
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/16/2021
Last updated
08/16/2021
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