Provider Demographics
NPI:1366428393
Name:CAPP, MONICA M (FNP,PMHNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:M
Last Name:CAPP
Suffix:
Gender:F
Credentials:FNP,PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 DURHAM RD
Mailing Address - Street 2:STE D
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-8793
Mailing Address - Country:US
Mailing Address - Phone:919-554-0900
Mailing Address - Fax:919-554-1885
Practice Address - Street 1:851 DURHAM RD
Practice Address - Street 2:STE D
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-8793
Practice Address - Country:US
Practice Address - Phone:919-554-0900
Practice Address - Fax:919-554-1885
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC118304363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891301PMedicaid
NCP00385282OtherRAILROAD MEDICARE
NC2592204Medicare PIN
NC1366428393Medicare NSC