Individual
MRS. TERESA M BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PA-C
Contact information
Practice address
611 SOUTH CHESTNUT, SUITE D, ELLENSBURG, WA 98926-4815
(509) 933-8700
(509) 933-8705
Mailing address
611 SOUTH CHESTNUT, SUITE D, ELLENSBURG, WA 98926-4815
(509) 933-8700
(509) 933-8705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003395
WA
363LF0000X
Family Nurse Practitioner
AP3002067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7831308
—
WA
Enumeration date
03/17/2006
Last updated
05/10/2010
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