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NPI Code Detail

MEDICARE: NICOLE RENEE BECK NP

MEDICARE: NICOLE RENEE BECK NP
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.0040761OH

General Provider Information

NPI Number : 1801757224
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE RENEE BECK NP
Provider Business Mailing Address
First Line : 11104 KEMPER AVE
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-1974
Country : US
Telephone Number : 859-750-0414
Fax Number :
Provider Business Practice Location Address
First Line : 6941 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2327
Country : US
Telephone Number : 513-538-4327
Fax Number : 513-271-8033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 12/03/2025

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