Provider Demographics
NPI:1356141394
Name:CAPUTO, KATHRYN D (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:D
Last Name:CAPUTO
Suffix:
Gender:
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 FAIRWAY N
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-1958
Mailing Address - Country:US
Mailing Address - Phone:631-235-2701
Mailing Address - Fax:
Practice Address - Street 1:222 LAKEVIEW AVE STE 900
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6148
Practice Address - Country:US
Practice Address - Phone:561-833-6116
Practice Address - Fax:561-833-6351
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily