Glenda Dee Capps, Registered Nurse
Registered Nurse, Addiction (Substance Use Disorder) in Presque Isle, ME. Individual provider (NPI-1).
NPI number1114697141
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1114697141
- Entity type
- Individual (NPI-1)
- Name
- Glenda Dee Capps
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2021
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | RN58052 | ME | Yes |
| 163WC0400X | Registered Nurse, Case Management | RN58052 | ME | |
| 163WC0400X | Registered Nurse, Case Management | 788363 | CA | |
| 163WI0600X | Registered Nurse, Infection Control | RN58052 | ME | |
| 163WI0600X | Registered Nurse, Infection Control | 788363 | CA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN58052 | ME | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 788363 | CA | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 788363 | CA | |
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | RN58052 | ME |
Practice location
11 North StPresque Isle, ME 04769-2296
Phone 207-707-3001
Mailing address
124 Carvell RdMapleton, ME 04757-4516
Other practice locations
124 Carvell Rd
Mapleton, ME 04757-4516
Mapleton, ME 04757-4516
Phone 207-227-0238
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