Individual
PATRICIA BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112356
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
47592
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051518
—
NC
Enumeration date
11/07/2006
Last updated
10/27/2020
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