NPI 1205856184
Shanna Lea Gustafson Capen, MSMPHCGC
Practice location
- Address
- 360 Central Ave Suite 1230, St Petersburg, FL 33701-3857
- Phone
- (800) 975-4819
- Fax
- (760) 203-1194
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1205856184
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jul 2006
- Record last updated
- 29 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.