NPI 1114697141 · live from the CMS NPI Registry
Glenda Dee Capps, Registered Nurse
Registered Nurse, Addiction (Substance Use Disorder) in Presque Isle, ME. National Provider Identifier 1114697141, active.
NPI record
| NPI | 1114697141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Addiction (Substance Use Disorder) 163WA0400X |
| Practice location | 11 North St, Presque Isle, ME 04769 |
| Practice phone | 207-707-3001 |
| Mailing address | 124 Carvell Rd, Mapleton, ME 04757 |
| Enumerated | September 21, 2021 |
| Last updated | September 21, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Case Management | 163WC0400X | RN58052 (ME) |
| Registered Nurse, Case Management | 163WC0400X | 788363 (CA) |
| Registered Nurse, Infection Control | 163WI0600X | RN58052 (ME) |
| Registered Nurse, Infection Control | 163WI0600X | 788363 (CA) |
| Registered Nurse, Medical-Surgical | 163WM0705X | RN58052 (ME) |
| Registered Nurse, Medical-Surgical | 163WM0705X | 788363 (CA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 788363 (CA) |
| Registered Nurse, Women's Health Care, Ambulatory | 163WW0101X | RN58052 (ME) |
| Registered Nurse, Addiction (Substance Use Disorder) primary | 163WA0400X | RN58052 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.