Individual
MICHELLE RENE BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3904 21ST AVE S, MINNEAPOLIS, MN 55407-3070
(507) 340-6805
Mailing address
3904 21ST AVE S, MINNEAPOLIS, MN 55407-3070
(507) 340-6805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211615-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508306937
NPI
MN
Enumeration date
03/04/2017
Last updated
09/15/2023
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