Provider Demographics
NPI:1568510840
Name:HONRINE, BECKY WILLIAMS (NP)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:WILLIAMS
Last Name:HONRINE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 MAXWELL RD
Mailing Address - Street 2:
Mailing Address - City:AUTRYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28318-8790
Mailing Address - Country:US
Mailing Address - Phone:910-567-5564
Mailing Address - Fax:
Practice Address - Street 1:360 COUNTY COMPLEX RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-4778
Practice Address - Country:US
Practice Address - Phone:910-592-1131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC800125363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health