Provider Demographics
NPI:1972362077
Name:PUDASAINEE-KAPRI, SANGITA (DNP, RN, APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SANGITA
Middle Name:
Last Name:PUDASAINEE-KAPRI
Suffix:
Gender:F
Credentials:DNP, RN, APN, FNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1700 BLUE JAY LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3159
Mailing Address - Country:US
Mailing Address - Phone:315-396-7903
Mailing Address - Fax:
Practice Address - Street 1:530 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1107
Practice Address - Country:US
Practice Address - Phone:315-396-7903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01088900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily