Provider Demographics
NPI:1669111225
Name:CAPPER, CHELSEA ANN
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:CAPPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18625 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50619-9646
Mailing Address - Country:US
Mailing Address - Phone:319-215-5549
Mailing Address - Fax:
Practice Address - Street 1:18625 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IA
Practice Address - Zip Code:50619-9646
Practice Address - Country:US
Practice Address - Phone:319-215-5549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program