Healthcare Provider Details

I. General information

NPI: 1962469692
Provider Name (Legal Business Name): MONICA DABNEY L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 DOESKIN DRIVE
APEX NC
27539-8644
US

IV. Provider business mailing address

3920 DOESKIN DRIVE
APEX NC
27539-8644
US

V. Phone/Fax

Practice location:
  • Phone: 919-762-0729
  • Fax: 888-965-9917
Mailing address:
  • Phone: 305-967-0626
  • Fax: 888-965-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1416
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2005LAC
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier102428900
Identifier TypeMEDICAID
Identifier StateFL
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: