| Doctor Name: | JUDY CAPITANO |
| NPI Number: | 1043578008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 4704212182 |
| Business Practice Address: | 5500 Armstrong Rd Battle Creek, MI - 49017 |
| Business Phone Number: | 2699665600 |
| Business Fax Number: | |
| Mailing Address: | 29 N 29th St, BATTLE CREEK |
| State: | MI |
| Postal Code: | 490154906 |
| Phone Number: | 2699864569 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2012 |
| NPI Last Update Date: | 04/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704212182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |