Provider Demographics
NPI:1134101694
Name:CAPIK, LYNNE (MSN, RN, APN,C)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:
Last Name:CAPIK
Suffix:
Gender:F
Credentials:MSN, RN, APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 MOON DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3225
Mailing Address - Country:US
Mailing Address - Phone:215-295-8656
Mailing Address - Fax:
Practice Address - Street 1:446 BELLEVUE AVE
Practice Address - Street 2:CAPITAL HEALTH SYSTEM
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08607
Practice Address - Country:US
Practice Address - Phone:609-394-4000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07855000363LF0000X
PASP008258363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP58325Medicare UPIN