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Individual

BECKI EWY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
1501 W GUADALUPE RD, MESA, AZ 85202-7575
(480) 472-3027
Mailing address
1501 W GUADALUPE RD, MESA, AZ 85202-7575

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
247097
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
247097
AZ

Other

Enumeration date
11/30/2020
Last updated
12/05/2023
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