Individual
ASHLEE CAPPONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 265-5493
(828) 266-1176
Mailing address
6136 PETERS CREEK RD, ROANOKE, VA 24019-4028
(540) 283-3660
(540) 283-3677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205373560
—
VA
Enumeration date
01/25/2017
Last updated
12/07/2020
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