Individual
ELIZABETH NICHOLE BEADDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-1178
Mailing address
11711 MEZZANINE DR UNIT 114, RALEIGH, NC 27614-9594
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
5016965
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5016965
NC
Other
Enumeration date
09/29/2022
Last updated
02/20/2023
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