Healthcare Provider Details

I. General information

NPI: 1184028599
Provider Name (Legal Business Name): SHARON BECKMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2014
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR
DURHAM NC
27710-4000
US

IV. Provider business mailing address

407 CRUTCHFIELD ST
DURHAM NC
27704-2726
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-6437
  • Fax: 919-681-8147
Mailing address:
  • Phone: 919-660-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5011576
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: