Doctor Name: | MRS. MARY CLAIRE BECK |
NPI Number: | 1366459265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 45038 |
Business Practice Address: | Irwin Army Community Hospital, 600 Caisson Hill Rd Attn Mcxx-cld-qm (cred) Terry Hill Fort Riley, KS - 664425037 |
Business Phone Number: | 7852397155 |
Business Fax Number: | 7852397364 |
Mailing Address: | Irwin Army Community Hospital, 600 Caisson Hill Rd, Attn Mcxx-cld-qm (cred) Terry Hill FORT RILEY |
State: | KS |
Postal Code: | 664425037 |
Phone Number: | 7852397155 |
Fax Number: | 7852397364 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45038 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |