person
Beth Ann Dekoninck, NP-C
Primary Care Nurse Practitioner in Eden, North Carolina
NPI 1285693960

Beth Ann Dekoninck is a Primary Care Nurse Practitioner based in Eden, NC and is specialized in Primary Care. Beth Ann Dekoninck practices in Eden, NC and has the professional credentials of NP-C. The NPI Number for Beth Ann Dekoninck is 1285693960 and holds a License No. 71000315A (North Carolina).

The current practice location address for Beth Ann Dekoninck is 207 E Meadow Rd Ste 6, Eden, NC and can be reached out via phone at 219-204-1854.

Location: 207 E Meadow Rd Ste 6, Eden, NC, 27288-3469
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Provider Profile Details
NPI Number
1285693960
Provider Name
Beth Ann Dekoninck
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
207 E Meadow Rd Ste 6, Eden, NC, 27288-3469
Phone Number
219-204-1854
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200169950 05 IN
000000372024 01 IN ANTHEM PROVIDER NUMBER
9397614 01 IN PHCS PID NUMBER
institution
Provider Business Practice Location Address Details
Address
207 E Meadow Rd Ste 6
City
State
Zip
27288-3469
Phone Number
219-204-1854
Fax Number
person
Provider Business Mailing Address Details
Address
207 E Meadow Rd Ste 6
City
State
Zip
27288-3469
Phone Number
219-204-1854
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71000315A (Indiana)
Definition
Definition to come...
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