Provider Demographics
NPI:1790354058
Name:CAPPERINO, GIANNA (APN)
Entity Type:Individual
Prefix:MS
First Name:GIANNA
Middle Name:
Last Name:CAPPERINO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 W TARTAN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8802
Mailing Address - Country:US
Mailing Address - Phone:779-243-8773
Mailing Address - Fax:
Practice Address - Street 1:7502 W TARTAN RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8802
Practice Address - Country:US
Practice Address - Phone:779-243-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209023309363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner