Individual ProviderLori Marie CappelloNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2620 E 7th St Ste 200, Charlotte, NC 28204-4314(704) 358-9900(704) 873-4277PECOS EnrollmentBased on the most recent information from CMS, provider Lori Marie Cappello does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1891225520Provider TypeIndividualFull NameCappello, Lori MarieTitleMrs.CredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date6/15/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2620 E 7th St Ste 200, Charlotte, NC 28204-4314Phone(704) 358-9900FaxUnlisted FaxMailing LocationMailing AddressPO Box 1845, Statesville, NC 28687-1845Phone(704) 873-4277FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5012700North CarolinaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5012700North CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3011365KentuckyCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71007957AIndiana