Healthcare Provider Details

I. General information

NPI: 1174750285
Provider Name (Legal Business Name): DANIELLE KATHRYN BECK FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE KATHRYN MAXFIELD RN

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MT HIGHWAY 91 S
DILLON MT
59725-3535
US

IV. Provider business mailing address

90 HWY 91 SOUTH
DILLON MT
59725
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-3000
  • Fax: 406-683-3011
Mailing address:
  • Phone: 406-683-3000
  • Fax: 406-683-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number34844
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: