Individual
MS. QUETTA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8729
(270) 798-8499
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8729
(270) 798-8499
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
148617
TN
163WP2201X
Ambulatory Care Registered Nurse
148617
TN
Other
Enumeration date
12/30/2008
Last updated
09/24/2012
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