Capriola, Kathleen D

Capriola, Kathleen D is an individual health care provider with primary practice located at 612 Roxbury Rd , Rockford IL 61107-5089. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Capriola, Kathleen D can be contacted via phone (815) 227-8300.

Contact Information

Primary practice address
612 Roxbury Rd Rockford IL 61107-5089
Fax: (815) 227-8301
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209003505 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041258611 Illinois

Profile Details

NPI number 1710975891
LBN Legal business name Capriola, Kathleen D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 22nd, 2011 - about 14 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 1710975891 NPPES
Illinois Other P00605030 RAILROAD MEDICARE
Illinois Other 1616108 RAILROAD MEDICARE

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