Provider Demographics
NPI:1144285933
Name:CAPPADONA, MAUREEN (RN CARN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:CAPPADONA
Suffix:
Gender:F
Credentials:RN CARN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:508-485-3539
Mailing Address - Fax:
Practice Address - Street 1:157 UNION ST
Practice Address - Street 2:MARLBORO HOSPITAL
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-486-5591
Practice Address - Fax:508-486-5508
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71815163WA0400X
MA3867163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)