Individual
BLAKE BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, ACNPC-AG
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028244
PA
Other
Enumeration date
09/21/2023
Last updated
09/28/2023
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