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Individual

MARYANN KAPACINSKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4638
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4638

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041.278848
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
117880
IA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
G-177880
IA

Other

Enumeration date
09/09/2009
Last updated
11/14/2013
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