Conder, Beverly Mccorkle
Conder, Beverly Mccorkle is an individual health care provider with primary practice located at 10030 Gilead Rd Ste 201 , Huntersville NC 28078-7545. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Conder, Beverly Mccorkle can be contacted via phone (704) 887-4530.Contact Information
Primary practice address
10030 Gilead Rd Ste 201
Huntersville NC 28078-7545
Phone: (704) 887-4530
Fax: (704) 887-4531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0050-00682 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-130234 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5000682 | North Carolina |
Profile Details
| NPI number | 1619084647 |
|---|---|
| LBN Legal business name | Conder, Beverly Mccorkle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Nov 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619084647 | NPPES |
| North Carolina | MEDICAID | 7003749 | |
| North Carolina | Other | P00297346 | |
| North Carolina | MEDICAID | 05673386 | |
| North Carolina | Other | Q53832 | |
| North Carolina | MEDICAID | NP0911 | |
| North Carolina | MEDICAID | 130679 | |
| North Carolina | Other | 051118877 |
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