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Individual

DAVID A. BECCUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
1055 WESTGATE DR, SCT SUITE 100, SAINT PAUL, MN 55114-1065
(612) 262-7800
Mailing address
1055 WESTGATE DR, SCT SUITE 100, SAINT PAUL, MN 55114-1065
(612) 262-7800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60196934
WA
363LF0000X
Family Nurse Practitioner
209007587
IL
363LF0000X
Family Nurse Practitioner
Primary
R205412-2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0276495
L AND I
WA
05
1881821643
WA
Enumeration date
06/18/2009
Last updated
03/16/2012
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