Healthcare Provider Details

I. General information

NPI: 1801585484
Provider Name (Legal Business Name): HEIDI K BECKMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W 800 N # 204
OREM UT
84057-3746
US

IV. Provider business mailing address

201 HOBBLE CREEK CYN
SPRINGVILLE UT
84663-9564
US

V. Phone/Fax

Practice location:
  • Phone: 801-434-4100
  • Fax:
Mailing address:
  • Phone: 801-704-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7095257-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number7095257-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: