Individual
CAPRI PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 274-6602
Mailing address
10 WELLSLEY DR, DRYDEN, NY 13053-9600
(607) 274-6602
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
676326
NY
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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