| Doctor Name: | PATRICIA M CAPPS |
| NPI Number: | 1508140229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209.000828 |
| Business Practice Address: | 930 Blue Star Hwy South Haven, MI - 490907758 |
| Business Phone Number: | 2696371115 |
| Business Fax Number: | 2696391314 |
| Mailing Address: | 930 Blue Star Hwy, SOUTH HAVEN |
| State: | MI |
| Postal Code: | 490907758 |
| Phone Number: | 2696371115 |
| Fax Number: | 2696391314 |
| NPI Enumeration Date: | 09/29/2011 |
| NPI Last Update Date: | 06/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC0200X |
| License Number: | 209.000828 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |