Individual
GINA MARIE BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
487 LAKE CONCORD RD NE, CONCORD, NC 28025-2934
(704) 403-0100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007250
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5007250
NC
363LF0000X
Family Nurse Practitioner
5007250
NC
Other
Enumeration date
03/19/2012
Last updated
09/19/2025
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