Individual
MARGARET ANN CAPUCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
698 FAIRVIEW RD, LTC HEALTH SOLUTIONS, SIMPSONVILLE, SC 29680-6708
(401) 770-1669
(401) 216-0606
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA LTC HEALTH SOLUTIO, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3874
SC
363LF0000X
Family Nurse Practitioner
NP00248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2348516
—
OH
01
—
P00254124
RRMC
OH
01
—
P00762653
RRMC
OH
Enumeration date
03/17/2006
Last updated
11/22/2016
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