Provider Demographics
NPI:1952466260
Name:CAPONI, KAREN Y (RNC,NP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:Y
Last Name:CAPONI
Suffix:
Gender:F
Credentials:RNC,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 ASHBURNHAM ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-2743
Mailing Address - Country:US
Mailing Address - Phone:978-424-5537
Mailing Address - Fax:508-854-3310
Practice Address - Street 1:631 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2010
Practice Address - Country:US
Practice Address - Phone:508-854-3300
Practice Address - Fax:508-854-3310
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152222363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health