Healthcare Provider Details

I. General information

NPI: 1174496129
Provider Name (Legal Business Name): BRITTANY BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3699 EPWORTH RD
NEWBURGH IN
47630-8909
US

IV. Provider business mailing address

3699 EPWORTH RD
NEWBURGH IN
47630-8909
US

V. Phone/Fax

Practice location:
  • Phone: 812-483-0470
  • Fax:
Mailing address:
  • Phone: 812-483-0470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71017233A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number28202527A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number28202527A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: