Individual
ERIKA KAYE BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 N MAIN ST, MAHNOMEN, MN 56557-4003
(218) 936-5616
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 936-5616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R137842-7
MN
363LF0000X
Family Nurse Practitioner
Primary
R137842-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861649071
—
MN
Enumeration date
08/20/2008
Last updated
08/01/2013
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