Individual
COURTNEY P BEICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
455 ALBERTA DR APT 1, AMHERST, NY 14226-1302
(716) 370-9726
Mailing address
455 ALBERTA DR APT 1, AMHERST, NY 14226-1302
(716) 370-9726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329782-1
NY
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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