Individual
SANDRA J CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
15790 PAUL VEGA MD DR, REVENUE MANAGEMENT DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-1617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN028487
LA
363L00000X
Nurse Practitioner
Primary
AP01147
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1686051
—
LA
Enumeration date
07/25/2006
Last updated
01/17/2011
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