KATIE R CACCIAPALLE

MACON, GA
NPI1780939561
Former NameKATIE M RUFFIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9301121)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704296775)
Enumeration Date2012-07-18
Last Update Date2017-10-17
Business Address
KATIE R CACCIAPALLE CRNA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-2147
Mailing Address
KATIE R CACCIAPALLE CRNA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839