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Individual

MS. BARBARA J CAPEZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP RNC

Contact information

Practice address
1720 S BROAD ST, HEALTH CARE CENTER 2, PHILADELPHIA, PA 19145-2315
(215) 685-1811
Mailing address
4711 SALMON ST, PHILADELPHIA, PA 19137-2125
(215) 288-7325

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
VP000570G
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VP000570G
LICENSE
PA
Enumeration date
02/22/2007
Last updated
07/08/2007
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