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Individual

MARIA CHRISTINE BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
248 COX ST STE A, MOBILE, AL 36604-3303
(251) 405-4524
(251) 405-4521
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8889
(251) 544-2188

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-093987
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
630000013
AL
Enumeration date
12/01/2009
Last updated
12/01/2009
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