Provider Demographics
NPI:1073243820
Name:FORESMAN-CAPUZZI, JOYCE RIDGEWAY (CNS)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:RIDGEWAY
Last Name:FORESMAN-CAPUZZI
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-2001
Mailing Address - Country:US
Mailing Address - Phone:610-505-3792
Mailing Address - Fax:
Practice Address - Street 1:844 13TH AVE
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:PA
Practice Address - Zip Code:19076-2001
Practice Address - Country:US
Practice Address - Phone:610-505-3792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACNS000095364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist