Provider Demographics
NPI:1053659417
Name:GIEDD, ANN MARIE BECKWITH (MSN/FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:BECKWITH
Last Name:GIEDD
Suffix:
Gender:F
Credentials:MSN/FNP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:GIEDD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:EATON CENTER
Mailing Address - State:NH
Mailing Address - Zip Code:03832-0183
Mailing Address - Country:US
Mailing Address - Phone:404-422-6231
Mailing Address - Fax:603-367-4391
Practice Address - Street 1:413 STEWART RD
Practice Address - Street 2:
Practice Address - City:EATON CENTER
Practice Address - State:NH
Practice Address - Zip Code:03832-0383
Practice Address - Country:US
Practice Address - Phone:404-422-6231
Practice Address - Fax:404-422-6231
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN62294363L00000X
NH060497-23363LF0000X
GARN189614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner