Individual
MS. LEEANN MARIE CAPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2287
Mailing address
2315 MILAN CT, CHAMPAIGN, IL 61822-6406
(217) 607-0440
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
502048
CA
363LF0000X
Family Nurse Practitioner
Primary
13020
CA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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