Provider Demographics
NPI:1609623610
Name:CAPODANNO, KATELYN CLAIRE (APN)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:CLAIRE
Last Name:CAPODANNO
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:465 SOUTH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6442
Mailing Address - Country:US
Mailing Address - Phone:908-947-2712
Mailing Address - Fax:908-927-9832
Practice Address - Street 1:575 ROUTE 28 STE 3201
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1363
Practice Address - Country:US
Practice Address - Phone:908-947-2712
Practice Address - Fax:908-927-9832
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR17744100163W00000X
NJ26NJ15099300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse