NPI 1447255575 · live from the CMS NPI Registry
Marcia Lynn Beckley, FNP
Nurse Practitioner, Family in Ithaca, NY. National Provider Identifier 1447255575, active.
NPI record
| NPI | 1447255575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1780 Hanshaw Rd, Ithaca, NY 14850 |
| Practice phone | 607-257-5858 |
| Mailing address | 1 Guthrie Sq, Sayre, PA 18840 |
| Enumerated | June 16, 2005 |
| Last updated | March 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 5353206 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | F333164 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.