Individual
KELLY L CAPOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 341-3300
(910) 251-2067
Mailing address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 341-3300
(910) 251-2067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006062
NC
363LP0200X
Pediatric Nurse Practitioner
5006062
NC
Other
Enumeration date
02/27/2013
Last updated
04/14/2016
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