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MICAELA PERICONE-KAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
Mailing address
22717 HATTERAS ST, WOODLAND HILLS, CA 91367-4449
(805) 889-5968

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95160720
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95034714
CA

Other

Enumeration date
02/24/2025
Last updated
04/17/2025
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