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Individual

CASEY NICOLE BECKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
210 PORTLAND ST STE 100, COLUMBIA, MO 65201-6677
(573) 777-8818
(573) 777-8819
Mailing address
210 PORTLAND ST STE 100, COLUMBIA, MO 65201-6677
(573) 777-8818
(573) 777-8819

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023019704
MO
367500000X
Certified Registered Nurse Anesthetist
43-557924-012
KS

Other

Enumeration date
05/12/2021
Last updated
08/17/2023
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