Provider Demographics
NPI:1114928421
Name:DEWEES, CORNELIA BECK (CNM)
Entity Type:Individual
Prefix:MS
First Name:CORNELIA
Middle Name:BECK
Last Name:DEWEES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3163 HEALTH SCIENCES
Mailing Address - Street 2:ECU COLLEGE OF NURSING
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4353
Mailing Address - Country:US
Mailing Address - Phone:252-744-6529
Mailing Address - Fax:252-744-6393
Practice Address - Street 1:201 GOVERNMENT CIR
Practice Address - Street 2:PITT CO HEALTH DEPT
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8198
Practice Address - Country:US
Practice Address - Phone:252-902-2305
Practice Address - Fax:252-413-1446
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC041928163W00000X
NC148367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC0485OtherMEDCOST