Provider Demographics
NPI:1215617535
Name:CAPLE, TELIA SHARON (LPN)
Entity type:Individual
Prefix:MS
First Name:TELIA
Middle Name:SHARON
Last Name:CAPLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5129 KEYSER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-3509
Mailing Address - Country:US
Mailing Address - Phone:215-983-2794
Mailing Address - Fax:
Practice Address - Street 1:7851 MANADA CT
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8712
Practice Address - Country:US
Practice Address - Phone:215-983-2794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN313618164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse