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NPI Code Detail

MEDICARE: MS. CORNELIA BECK DEWEES CNM

MEDICARE: MS. CORNELIA BECK DEWEES CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041928NC
2367A00000XAdvanced Practice Midwife148NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C0485OTHERNCMEDCOST

General Provider Information

NPI Number : 1114928421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CORNELIA BECK DEWEES CNM
Provider Business Mailing Address
First Line : 3163 HEALTH SCIENCES
Second Line : ECU COLLEGE OF NURSING
City : GREENVILLE
State : NC
Zip : 27834-4353
Country : US
Telephone Number : 252-744-6529
Fax Number : 252-744-6393
Provider Business Practice Location Address
First Line : 201 GOVERNMENT CIR
Second Line : PITT CO HEALTH DEPT
City : GREENVILLE
State : NC
Zip : 27834-8198
Country : US
Telephone Number : 252-902-2305
Fax Number : 252-413-1446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/07/2011

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