Provider Demographics
NPI:1003225087
Name:BECKMANN, AMY (CNM)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BECKMANN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 WEIRICH LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-3154
Mailing Address - Country:US
Mailing Address - Phone:830-998-0687
Mailing Address - Fax:806-977-9684
Practice Address - Street 1:349 WEIRICH LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-3154
Practice Address - Country:US
Practice Address - Phone:830-998-0687
Practice Address - Fax:806-977-9684
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126146367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife