Provider Demographics
NPI:1477024032
Name:CAPITANO, MARIA LEONA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:LEONA
Last Name:CAPITANO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:570-703-7355
Practice Address - Fax:570-703-7354
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2020-08-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant