Individual provider · Type 1 NPI

Charlotte Capulong, NP-C

Nurse Practitioner · Glendora, CA

NPI number 1417370065 Active

Practice location

130 West Route 66, Ste 326
Glendora, CA 91740-6252

Call (626) 963-8588 Map

Fax (626) 963-8578

Mailing address

PO Box 457
San Dimas, CA 91773-0457

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	NP23824 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1417370065

Charlotte Capulong, NP-C's National Provider Identifier is 1417370065, issued on Jan 31, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendora, CA. The record was last updated on Jan 31, 2014.