Provider Demographics
NPI:1851955678
Name:CAPUTO, AMANDA IRENE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:IRENE
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5764
Mailing Address - Country:US
Mailing Address - Phone:302-629-9099
Mailing Address - Fax:
Practice Address - Street 1:200 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5764
Practice Address - Country:US
Practice Address - Phone:302-629-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011741363LF0000X
DEL1-0053747163W00000X
VT026.0112553163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse