Individual
MS. BRENDA J BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA189
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411230099
—
ME
01
—
PA1208
ME - LICENSE
—
Enumeration date
10/04/2006
Last updated
03/07/2013
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