Healthcare Provider Details

I. General information

NPI: 1215703863
Provider Name (Legal Business Name): MARIAH J BECK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIAH J VALDIVIA APRN

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

IV. Provider business mailing address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-2044
  • Fax:
Mailing address:
  • Phone: 785-232-2044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-82972
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number142701
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: