Provider Demographics
NPI:1578791695
Name:BECK, AMISTY LEE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:AMISTY
Middle Name:LEE
Last Name:BECK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 N STRONG BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-4206
Mailing Address - Country:US
Mailing Address - Phone:918-426-0625
Mailing Address - Fax:918-423-0695
Practice Address - Street 1:901 N STRONG BLVD
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-4206
Practice Address - Country:US
Practice Address - Phone:918-426-0625
Practice Address - Fax:918-423-0659
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK75732364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology