Provider Demographics
NPI:1134295330
Name:BECK, SONDRA MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:MARIE
Last Name:BECK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 S BURLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-2212
Mailing Address - Country:US
Mailing Address - Phone:360-757-0027
Mailing Address - Fax:360-757-3698
Practice Address - Street 1:712 S BURLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-2212
Practice Address - Country:US
Practice Address - Phone:360-757-0027
Practice Address - Fax:360-757-3698
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily