Tracy L Beckham CRNA

NPI 1285892380 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1285892380
Gender Female
Enumeration Date 05/27/2008
Last Updated 05/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1103 E MONTCLAIR ST
SUITE 110
SPRINGFIELD MO, 65807-5076, US
Phone (417) 447-2482
Fax (417) 447-2596
Business Location
1103 E MONTCLAIR ST
SUITE 110
SPRINGFIELD MO, 65807-5076, US
Phone (417) 447-2482
Fax (417) 447-2596
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 096072
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According to our database, Mrs. Tracy L Beckham CRNA NPI is 1285892380, taxonomy code is 367500000X and license number is 096072, license state is located at Missouri. Tracy L Beckham CRNA physically located at 1103 E Montclair St, Springfield MO, 65807-5076. NPI Number Tracy L Beckham CRNA has the Individual type.

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1285892380 NPI number is provided on an as is basis without warranty of any kind. 1285892380 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy L Beckham CRNA are for informational purposes only.