Provider Demographics
NPI:1780838987
Name:CAPANO, MICHELE MARIE (RN CWOCN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:MARIE
Last Name:CAPANO
Suffix:
Gender:F
Credentials:RN CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CUMMINGS CENTER
Mailing Address - Street 2:SUITE #1800 WOUND & HYPERBARIC MEDICINE CENTER OF BEVER
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-921-1210
Mailing Address - Fax:978-921-1534
Practice Address - Street 1:500 CUMMINGS CENTER
Practice Address - Street 2:WOUND & HYPERBARIC MEDICINE CENTER
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-921-1210
Practice Address - Fax:978-921-1534
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177681163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care