Provider Demographics
NPI:1174750285
Name:BECK, DANIELLE KATHRYN (FNPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KATHRYN
Last Name:BECK
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:KATHRYN
Other - Last Name:MAXFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:90 HWY 91 SOUTH
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725
Mailing Address - Country:US
Mailing Address - Phone:406-683-3000
Mailing Address - Fax:406-683-3011
Practice Address - Street 1:30 MT HIGHWAY 91 S
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3535
Practice Address - Country:US
Practice Address - Phone:406-683-3000
Practice Address - Fax:406-683-3011
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT34844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily