Individual
MS. DIANE L. CAPPICCILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 DIVISADERO ST # C-355, SAN FRANCISCO, CA 94143-0001
(415) 885-7626
(415) 476-9516
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029300
—
CA
Enumeration date
07/27/2006
Last updated
01/07/2016
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