Provider Demographics
NPI:1174311047
Name:VAPNE, DANIEL JACOB
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JACOB
Last Name:VAPNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 NOTTINGHAM LN APT L
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-6501
Mailing Address - Country:US
Mailing Address - Phone:336-500-7890
Mailing Address - Fax:
Practice Address - Street 1:2707 NOTTINGHAM LN APT L
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-6501
Practice Address - Country:US
Practice Address - Phone:336-500-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant