Capps, Dedra L

Capps, Dedra L is an individual health care provider with primary practice located at 504 Mccurdy Ave South Suite, Rainsville AL 35986-5254. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Capps, Dedra L can be contacted via phone (256) 638-9161.

Contact Information

Primary practice address
504 Mccurdy Ave South Suite Rainsville AL 35986-5254
Phone: (256) 638-9161
Fax: (256) 638-9164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-093350 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1-093350 Alabama

Profile Details

NPI number 1114027513
LBN Legal business name Capps, Dedra L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 18th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114027513 NPPES
Alabama Other P00695177 RR MEDICARE
Alabama Other DO6289 RR MEDICARE

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