Individual
CAYLIE CAPPELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825-1545
(260) 425-5970
(260) 673-6599
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28195283A
IN
363L00000X
Nurse Practitioner
Primary
71012948A
IN
Other
Enumeration date
07/06/2022
Last updated
03/23/2023
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