Provider Demographics
NPI:1275117343
Name:CAPONE, ALMA PATRICIA
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:PATRICIA
Last Name:CAPONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 5TH AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-3038
Mailing Address - Country:US
Mailing Address - Phone:619-805-7076
Mailing Address - Fax:
Practice Address - Street 1:1600 PACIFIC HIGHWAY ROOM 206 MAIL STOP P-501
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-408-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95138515163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice