Individual
BETH ABIGAIL MEAUX CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, NNP-BC
Contact information
Practice address
DUKE NEONATOLOGY DUMC 2739, DURHAM, NC 27710-8970
(919) 970-3707
Mailing address
1132 FARMERS BRANCH RD, WILLOW SPRING, NC 27592-8970
(919) 559-4556
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
5005919
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5005919
NC
Other
Enumeration date
11/05/2012
Last updated
07/21/2022
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