Individual
MRS. KATHRYN DEMARINIS CAPOZZOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC, PMH
Contact information
Practice address
4 RIGGS AVE, SEVERNA PARK, MD 21146
(410) 224-2792
(410) 263-9593
Mailing address
201 SEVERN RIVER RD, SEVERNA PARK, MD 21146-4637
(410) 647-8765
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R055419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN45KD
PROVIDER NUMBER, BC
MD
Enumeration date
05/15/2007
Last updated
07/08/2007
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