Danielle Ann Beckingham, RN

Individual provider Active NPI Registered Nurse · Old Forge, NY

NPI 1407006182 · NPPES record last updated Sep 30, 2008

Key facts

NPI
1407006182
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
589398-1 (NY)
Practice address
107 Tamarack Dr.
Old Forge, NY 13420
Phone
(315) 369-3075
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
589398-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 589398-1 NY Yes

Addresses

Primary practice location

107 Tamarack Dr.
Old Forge, NY 13420

Mailing address

107 Tamarack Dr.
Old Forge, NY 13420
Phone (315) 369-3075

Other providers in Old Forge, NY

All providers in Old Forge, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.