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NPI Code Detail

MEDICARE: KAREN G BECKMAN FNP

MEDICARE: KAREN G BECKMAN FNP
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
1363LF0000XFamily Nurse Practitioner71004779AIN
2363LF0000XFamily Nurse Practitioner28096845AIN

General Provider Information

NPI Number : 1356764476
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN G BECKMAN FNP
Provider Business Mailing Address
First Line : 695 3RD AVE
Second Line :
City : JASPER
State : IN
Zip : 47546-3602
Country : US
Telephone Number : 812-634-6824
Fax Number : 812-481-1056
Provider Business Practice Location Address
First Line : 695 3RD AVE
Second Line :
City : JASPER
State : IN
Zip : 47546-3602
Country : US
Telephone Number : 812-634-6824
Fax Number : 812-481-1056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2014
Last Update Date : 05/31/2016

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