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Individual

FAITH BEKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
706 E 5TH ST, UNIT B, TABOR CITY, NC 28463-2335
(910) 377-8002
(910) 377-8032
Mailing address
706 E 5TH ST UNIT B, TABOR CITY, NC 28463-2335
(910) 377-8002
(910) 377-8032

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
268858
NC
363LF0000X
Family Nurse Practitioner
Primary
268858
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427544915
NON-MEDICARE
NC
05
1427544915
NC
Enumeration date
07/08/2018
Last updated
07/30/2019
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