Individual
MR. BRENT J BECNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8450 PARK RD, CHARLOTTE, NC 28210-5801
(980) 308-0143
(980) 308-0142
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011455
NC
363LF0000X
Family Nurse Practitioner
AP06866
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305000
—
LA
Enumeration date
07/16/2012
Last updated
08/11/2021
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