Individual
MRS. KRYSTAL DANIEL BECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-2544
Mailing address
P.O. BOX 14611, GREENVILLE, SC 29610-4611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17895
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
17895
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2203
—
SC
Enumeration date
08/28/2012
Last updated
12/23/2021
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