Individual
KAREN MARIE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 BANNOCK ST, MALAD CITY, ID 83252-5068
(208) 766-2600
Mailing address
5715 W 2600 S, MENDON, UT 84325-9791
(801) 787-0799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62034
ID
363LP2300X
Primary Care Nurse Practitioner
4550727-4405
UT
Other
Enumeration date
07/26/2019
Last updated
11/08/2021
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