Provider Demographics
NPI:1669057311
Name:CAPECE, SAMANTHA ANN (NP-C)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ANN
Last Name:CAPECE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 S COUNTY TRL STE 410
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1679
Mailing Address - Country:US
Mailing Address - Phone:401-886-4040
Mailing Address - Fax:401-421-2492
Practice Address - Street 1:1407 S COUNTY TRL STE 410
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1679
Practice Address - Country:US
Practice Address - Phone:401-886-4040
Practice Address - Fax:401-421-2492
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2291117363LF0000X
RIAPRN02524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily