Mrs. Lucille A Capo Rome
Nurse Practitioner - Psychiatric/Mental Health
2225 Challenger Way
Santa Rosa
, California 95407-5441
Mrs. Lucille A Capo Rome
Nurse Practitioner - Psychiatric/Mental Health
2225 Challenger Way
Santa Rosa
, California 95407-5441
(707) 565-6625
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Lucille A Capo Rome
- 2225 Challenger Way
- Santa Rosa, CA
- Zip : 95407-5441
- Phone : (707) 565-6625
Second Address
- Mrs. Lucille A Capo Rome
- 2225 Challenger Way
- Santa Rosa, CA
- Zip : 95407-5441
- Phone : (707) 565-6625
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In what state does Mrs. Lucille A Capo Rome practice in?
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Is Mrs. Lucille A Capo Rome a sole practitioner?
Is Mrs. Lucille A Capo Rome accepting new patients?
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Does Mrs. Lucille A Capo Rome offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6863 | CA |
National Provider Identifier
| NPI | 1033262654 |
|---|---|
| Provider Name | Mrs. Lucille A Capo Rome |
| First Address | Santa Rosa, CA 95407-5441 |
| Second Address | Santa Rosa, CA 95407-5441 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 11/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 807779 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.