Provider Demographics
NPI:1710142930
Name:CAPPS, KAREN A (RN,CDE,BSN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:CAPPS
Suffix:
Gender:F
Credentials:RN,CDE,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 COMMERCIAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3618
Mailing Address - Country:US
Mailing Address - Phone:912-356-5469
Mailing Address - Fax:912-356-5472
Practice Address - Street 1:351 COMMERCIAL DR STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3618
Practice Address - Country:US
Practice Address - Phone:912-356-5469
Practice Address - Fax:912-356-5472
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN105492163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator