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Individual

MS. BRIANNA SHAUNTE CAPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CEBP, MAED.

Contact information

Practice address
701 CLEARVIEW DR, MADISONVILLE, KY 42431-3420
(270) 399-5969
Mailing address
701 CLEARVIEW DR, MADISONVILLE, KY 42431-3420
(270) 399-5969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4008933
KY
163WC1500X
Community Health Registered Nurse
4008933
KY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4008933
KY
171000000X
Military Health Care Provider
4008933
KY
251C00000X
Developmentally Disabled Services Day Training Agency
4008933
KY
251S00000X
Community/Behavioral Health Agency
4008933
KY
252Y00000X
Early Intervention Provider Agency
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
4008933
KY
373H00000X
Day Training/Habilitation Specialist
4008933
KY
385HR2055X
Child Mental Illness Respite Care
4008933
KY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
4008933
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4008933
KBN
KY
Enumeration date
03/14/2024
Last updated
11/15/2024
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