Individual
MRS. KRISTEN MARIE CAPOVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
900 TOWNE LAKE PKWY STE 404, WOODSTOCK, GA 30189-1604
(770) 926-9229
(706) 946-5074
Mailing address
900 TOWNE LAKE PKWY STE 404, WOODSTOCK, GA 30189-1604
(770) 926-9229
(706) 946-5074
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN246089
GA
Other
Enumeration date
04/13/2021
Last updated
04/27/2021
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