Individual provider · Type 1 NPI

Thomas Michael Mangiacapre, AGPCNP

Nurse Practitioner · Winston Salem, NC

NPI number 1366986374 Active

Practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Call (336) 718-8383 Map

Fax (336) 718-9622

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2255
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098 · (503) 494-7551

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	201809919NPPP (OR)
Nurse Practitioner Primary	363L00000X	5009131 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366986374

Thomas Michael Mangiacapre, AGPCNP's National Provider Identifier is 1366986374, issued on Dec 9, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 14, 2021.