Individual
BECKY LYNN D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 W PARKVIEW DR, HENDERSON, NC 27536
(252) 438-3549
(252) 438-2084
Mailing address
400 DOC LN, MANSON, NC 27553-9083
(906) 395-7121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704155616
MI
363LF0000X
Family Nurse Practitioner
Primary
5010712
NC
Other
Enumeration date
08/07/2014
Last updated
01/30/2019
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