Provider Demographics
NPI:1033915624
Name:CAPPANINEE, MARSHAE BIANCA (PA-C)
Entity type:Individual
Prefix:
First Name:MARSHAE
Middle Name:BIANCA
Last Name:CAPPANINEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3726 GULL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3514
Mailing Address - Country:US
Mailing Address - Phone:301-535-8913
Mailing Address - Fax:
Practice Address - Street 1:3726 GULL RD
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3514
Practice Address - Country:US
Practice Address - Phone:301-535-8913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant