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NPI Code Detail

MEDICARE: WENDY LEE BECK MSN, RN, FNP

MEDICARE: WENDY LEE BECK MSN, RN, 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 Practitioner12291TN

General Provider Information

NPI Number : 1851465439
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY LEE BECK MSN, RN, FNP
Provider Business Mailing Address
First Line : 4021 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4341
Country : US
Telephone Number : 423-476-2464
Fax Number : 423-476-1008
Provider Business Practice Location Address
First Line : 1060 WILLIAM WAY NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4369
Country : US
Telephone Number : 423-478-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 05/05/2026

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