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Kristen Marie Capovilla, WHNP-BC

Nurse Practitioner, Women's Health in Woodstock, GA. Individual provider (NPI-1).

NPI number1821678780
StatusActive
Last updated in NPPESApr 27, 2021

Details

NPI
1821678780
Entity type
Individual (NPI-1)
Name
Mrs. Kristen Marie Capovilla
Credential
WHNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2021
Certification date
Apr 27, 2021
Last updated
Apr 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's HealthRN246089GAYes

Practice location

900 Towne Lake Pkwy Ste 404
Woodstock, GA 30189-1604

Phone 770-926-9229 · Fax 706-946-5074

Mailing address

900 Towne Lake Pkwy Ste 404
Woodstock, GA 30189-1604

Phone 770-926-9229 · Fax 706-946-5074

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