Healthcare Provider Details

I. General information

NPI: 1093121998
Provider Name (Legal Business Name): DORIT MORECRAFT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SUNDAY DR STE 102
RALEIGH NC
27607-5151
US

IV. Provider business mailing address

210 BAINES CT
CARY NC
27511-6717
US

V. Phone/Fax

Practice location:
  • Phone: 855-940-4867
  • Fax: 855-721-4867
Mailing address:
  • Phone: 919-345-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5006983
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5006983
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5006983
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: