Individual
TIELLE NICOLE DICAPRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2401 S FM 51 STE 200, DECATUR, TX 76234-3783
(940) 627-0044
Mailing address
132 PLEASANT RUN, AZLE, TX 76020-6049
(814) 952-2650
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1046804
TX
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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