Healthcare Provider Details

I. General information

NPI: 1467395418
Provider Name (Legal Business Name): VALERIE ANNE BECK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CLARKEN DR
WEST ORANGE NJ
07052-3430
US

IV. Provider business mailing address

185 CLARKEN DR
WEST ORANGE NJ
07052-3430
US

V. Phone/Fax

Practice location:
  • Phone: 862-241-9261
  • Fax:
Mailing address:
  • Phone: 862-241-9261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number302048
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: