Healthcare Provider Details

I. General information

NPI: 1548318272
Provider Name (Legal Business Name): CLAUDIA J BECKWITH N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E CHURCH ST
MARSHALLTOWN IA
50158-2947
US

IV. Provider business mailing address

2353 SE 14TH ST
DES MOINES IA
50320-1109
US

V. Phone/Fax

Practice location:
  • Phone: 641-753-4021
  • Fax: 641-753-4025
Mailing address:
  • Phone: 515-248-1400
  • Fax: 515-248-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA-081076
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: