Healthcare Provider Details

I. General information

NPI: 1831908581
Provider Name (Legal Business Name): KATHRYN PAP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 FAIR MEADOWS LN STE 102
RALEIGH NC
27607-6449
US

IV. Provider business mailing address

128 SOUTHERN BLOOM LN
RALEIGH NC
27603-4567
US

V. Phone/Fax

Practice location:
  • Phone: 919-670-3939
  • Fax:
Mailing address:
  • Phone: 269-348-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP031466
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: