Beckham, Penny

Beckham, Penny is an individual health care provider with primary practice located at 262 Danny Thomas Place, Ms 0515 C/O Dana Cannon, Memphis TN 38105-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Beckham, Penny can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Place, Ms 0515 C/O Dana Cannon Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 75933 Tennessee

Profile Details

NPI number 1457357162
LBN Legal business name Beckham, Penny
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457357162 NPPES
Virginia MEDICAID 010016771
Virginia MEDICAID 167251101
Virginia MEDICAID 2413427
Virginia MEDICAID 200456220A
Virginia MEDICAID 422400000
Virginia MEDICAID 915357800
Virginia MEDICAID 3495434
Virginia MEDICAID QRN/APN014
Virginia MEDICAID 00126561
Virginia MEDICAID 148279701
Virginia MEDICAID 104694240
Virginia MEDICAID 100849790A
Virginia MEDICAID 1132730

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