Individual
SHAWNE CAPUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8025 ARDREY KELL RD STE 103, CHARLOTTE, NC 28277-5730
(704) 242-1396
Mailing address
8025 ARDREY KELL RD STE 103, CHARLOTTE, NC 28277-5730
(704) 242-1396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2753041C
MEDICARE PTAN
—
Enumeration date
08/26/2008
Last updated
07/22/2025
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