Provider Demographics
NPI:1588669923
Name:CAPPELLUTI, LENORE (MSN,RN,APN-C)
Entity Type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:CAPPELLUTI
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 1:2114 SEVEN SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3908
Mailing Address - Country:US
Mailing Address - Phone:201-306-7398
Mailing Address - Fax:
Practice Address - Street 1:2114 SEVEN SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3908
Practice Address - Country:US
Practice Address - Phone:201-306-7398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM68603363LX0001X
FLAPRN11022650363LX0001X
TXAP116168363LX0001X
NJNN100486363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1588669923Medicaid