Provider Demographics
NPI:1568886299
Name:CAPEL, BRIAN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:CAPEL
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 EDWARDS MILL RD STE 141
Mailing Address - Street 2:#163
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5371
Mailing Address - Country:US
Mailing Address - Phone:919-443-2360
Mailing Address - Fax:919-800-3039
Practice Address - Street 1:3201 EDWARDS MILL RD STE 141
Practice Address - Street 2:#163
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5371
Practice Address - Country:US
Practice Address - Phone:919-443-2360
Practice Address - Fax:919-800-3039
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171458363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health