Individual
MRS. LISA CAPUZZIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
55 FRUIT ST, YAWKEY OUTPATIENT CARE CENTER, BOSTON, MA 02114-2621
(617) 726-8523
(617) 724-0551
Mailing address
55 FRUIT ST, YAWKEY OUTPATIENT CARE CENTER, BOSTON, MA 02114-2621
(617) 726-8523
(617) 724-0551
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN266701
MA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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