Doctor Name: | LINDSEY M. BECKHAM |
NPI Number: | 1023409091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-130438 |
Business Practice Address: | 575 Southland Dr Vestavia, AL - 352263732 |
Business Phone Number: | 2057216200 |
Business Fax Number: | 2057216201 |
Mailing Address: | 931 Fairfax Park, TUSCALOOSA |
State: | AL |
Postal Code: | 354062805 |
Phone Number: | 2053437316 |
Fax Number: | 2053430834 |
NPI Enumeration Date: | 02/12/2015 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 1-130438 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |