Provider Demographics
NPI:1366743379
Name:BECK, AMY DEE (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:DEE
Last Name:BECK
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-6504
Mailing Address - Country:US
Mailing Address - Phone:812-339-3694
Mailing Address - Fax:
Practice Address - Street 1:214 E HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-6504
Practice Address - Country:US
Practice Address - Phone:812-339-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-07
Last Update Date:2010-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula