Individual
HOPE DUET BEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 60516, CHARLOTTE, NC 28260-0516
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001302
NC
363LA2100X
Acute Care Nurse Practitioner
0050-01302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005330
—
NC
Enumeration date
05/13/2006
Last updated
04/25/2022
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