MEDICARE: ASHLEY D BECKWITH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	773939	NY
2	363LF0000X	Family Nurse Practitioner	209033433	IL

General Provider Information

NPI Number	:	1336940642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY D BECKWITH RN

Provider Business Mailing Address
First Line	:	34 BURBEN WAY
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3516
Country	:	US
Telephone Number	:	585-748-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 NEW CAMPUS DR
Second Line	:
City	:	BROCKPORT
State	:	NY
Zip	:	14420-2914
Country	:	US
Telephone Number	:	585-395-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2025
Last Update Date	:	03/03/2026

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