Provider Demographics
NPI:1194547661
Name:CAPORALE, VICKY KAY (RN)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:KAY
Last Name:CAPORALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:KAY
Other - Last Name:CAPORALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:400 GRAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965
Mailing Address - Country:US
Mailing Address - Phone:530-828-1811
Mailing Address - Fax:530-719-9962
Practice Address - Street 1:2255 6TH STREET
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965
Practice Address - Country:US
Practice Address - Phone:530-538-2940
Practice Address - Fax:530-719-9962
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95173471163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557697OtherCALIFORNIA BOARD OF REGISTERED NURSING
CA220163304OtherCOMMISSION ON TEACHING CREDENTIALING CTC
CA95173471OtherCALIFORNIA BOARD OF REGISTERED NURSING