Moore Beckerle, Carla

Moore Beckerle, Carla is an individual health care provider with primary practice located at 637 Dunn Rd Ste 170 , Hazelwood MO 63042-1759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore Beckerle, Carla can be contacted via phone (314) 838-5702.

Contact Information

Primary practice address
637 Dunn Rd Ste 170 Hazelwood MO 63042-1759
Phone: (314) 838-5702
Fax: (314) 839-5596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017488 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 072603 Missouri

Profile Details

NPI number 1457458234
LBN Legal business name Moore Beckerle, Carla
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 15th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457458234 NPPES
Missouri MEDICAID 427553102

Popular Providers