Individual
SHALYN ANN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 MEDICAL DR, ADVANCE, NC 27006
(336) 998-9060
Mailing address
218 MEADOWFIELD RUN, CLEMMONS, NC 27012-7477
(419) 460-8825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010580
NC
363LF0000X
Family Nurse Practitioner
303608
NC
363LF0000X
Family Nurse Practitioner
303608
NY
Other
Enumeration date
06/11/2018
Last updated
03/01/2022
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