Individual
MRS. ANNA THEA NOEL BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-2187
(620) 872-7193
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-2187
(620) 872-7193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77125-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-62613-092
STATE LICENSE- RN
KS
01
—
53-77125-092
STATE LICENSE
KS
Enumeration date
02/29/2016
Last updated
02/29/2016
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