Tracy L Beckham, CRNA
Nurse Anesthetist, Certified Registered in Springfield, MO. Individual provider (NPI-1).
NPI number1285892380
StatusActive
Last updated in NPPESMay 27, 2008
Details
- NPI
- 1285892380
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy L Beckham
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2008
- Last updated
- May 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 096072 | MO | Yes |
Practice location
1103 E Montclair StSuite 110
Springfield, MO 65807-5076
Phone 417-447-2482 · Fax 417-447-2596
Mailing address
1103 E Montclair StSuite 110
Springfield, MO 65807-5076
Phone 417-447-2482 · Fax 417-447-2596
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