Capanna, Diane

Capanna, Diane is an individual health care provider with primary practice located at 201 Pineview Court , St. Clair Shores MI 48081-1110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Capanna, Diane can be contacted via phone (586) 776-7626.

Contact Information

Primary practice address
201 Pineview Court St. Clair Shores MI 48081-1110
Phone: (586) 776-7626
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704082314 Michigan

Profile Details

NPI number 1457345480
LBN Legal business name Capanna, Diane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457345480 NPPES
Michigan MEDICAID 104300444
Michigan Other DC082314

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