Healthcare Provider Details

I. General information

NPI: 1093340317
Provider Name (Legal Business Name): ALTONETTE MONIQUE CONEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 REGENCY PKWY STE 255
CARY NC
27518-8511
US

IV. Provider business mailing address

2000 REGENCY PKWY STE 255
CARY NC
27518-8511
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-3637
  • Fax:
Mailing address:
  • Phone: 704-360-3637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5012988
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012988
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: