Individual
MRS. STACY LEE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ARNP
Contact information
Practice address
15765 KINGSLEY RD, NINILCHIK, AK 99639-9759
(907) 567-3970
(907) 567-9002
Mailing address
PO BOX 39368, NINILCHIK, AK 99639-0368
(907) 567-3970
(079) 567-9002
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
29122
AK
363LF0000X
Family Nurse Practitioner
Primary
183312
AK
Other
Enumeration date
05/20/2010
Last updated
09/21/2022
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