MEDICARE: MICAELA CAPPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	14341	NC

General Provider Information

NPI Number	:	1699623090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICAELA CAPPS

Provider Business Mailing Address
First Line	:	605 EVANS RD
Second Line	:
City	:	PRINCETON
State	:	NC
Zip	:	27569-9275
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 WAYNE MEMORIAL DR STE C
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-1750
Country	:	US
Telephone Number	:	919-751-6053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ MICAELA CAPPS ” Practice Location

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