Healthcare Provider Details

I. General information

NPI: 1649385014
Provider Name (Legal Business Name): BECKETT SAXMAN PERKINS NNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS BECKETT SAXMAN

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 26TH ST S
GREAT FALLS MT
59405-5161
US

IV. Provider business mailing address

2519 13TH AVE S
GREAT FALLS MT
59405-5178
US

V. Phone/Fax

Practice location:
  • Phone: 406-455-5505
  • Fax: 406-455-4988
Mailing address:
  • Phone: 406-455-4477
  • Fax: 406-268-0084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN23954
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60028968
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP60028968
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP60028968
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: