Provider Demographics
NPI:1699223305
Name:BECKWITH, URHONDA (FNP)
Entity Type:Individual
Prefix:MS
First Name:URHONDA
Middle Name:
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 BEECHGROVE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70722-3924
Mailing Address - Country:US
Mailing Address - Phone:225-719-0996
Mailing Address - Fax:
Practice Address - Street 1:9456 BEECHGROVE RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:LA
Practice Address - Zip Code:70722-3924
Practice Address - Country:US
Practice Address - Phone:225-719-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily