Provider Demographics
NPI:1053373704
Name:LACHAPELLE, JOANN (ANP)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:LACHAPELLE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5712 WILD ORCHID TRL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-8546
Mailing Address - Country:US
Mailing Address - Phone:919-844-3045
Mailing Address - Fax:
Practice Address - Street 1:5712 WILD ORCHID TRL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-8546
Practice Address - Country:US
Practice Address - Phone:919-844-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC110662363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P82187Medicare UPIN