Individual
THOMAS MICHAEL MANGIACAPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-8383
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009131
NC
363LA2100X
Acute Care Nurse Practitioner
201809919NPPP
OR
Other
Enumeration date
12/09/2016
Last updated
06/14/2021
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