Individual
MALLORY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN ST, FORT MORGAN, CO 80701-3290
(970) 542-3391
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0999779-NP
CO
363LF0000X
Family Nurse Practitioner
APN.0999779-NP
CO
Other
Enumeration date
01/30/2024
Last updated
09/16/2024
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