Individual
MS. DIANE L BECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRPNP
Contact information
Practice address
1008 REGATTA CIR, NICEVILLE, FL 32578-2455
(850) 881-3205
Mailing address
1008 REGATTA CIR, NICEVILLE, FL 32578-2455
(850) 881-3205
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP002314D
PA
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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