Healthcare Provider Details

I. General information

NPI: 1184254468
Provider Name (Legal Business Name): SAMANTHA JO BECK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MAIN ST
LIME SPRINGS IA
52155-4400
US

IV. Provider business mailing address

101 W MAIN ST
LIME SPRINGS IA
52155-4400
US

V. Phone/Fax

Practice location:
  • Phone: 563-566-2243
  • Fax:
Mailing address:
  • Phone: 563-566-2243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA189420
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: