Individual
MICHELE HALLOWELL BECKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
205 DR MARTIN LUTHER KING ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
Mailing address
9260 142ND ST, SEMINOLE, FL 33776-2005
(727) 433-1824
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
1697052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1697052
STATE OF FLORIDA ARNP LICENSE
FL
Enumeration date
03/05/2012
Last updated
03/05/2012
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