Provider Demographics
NPI:1255451985
Name:BECENTI, LECIA JOY (RN)
Entity type:Individual
Prefix:MRS
First Name:LECIA
Middle Name:JOY
Last Name:BECENTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17779
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85269-7779
Mailing Address - Country:US
Mailing Address - Phone:480-789-7890
Mailing Address - Fax:480-837-1270
Practice Address - Street 1:16240 NORTH FORT MCDOWELL ROAD
Practice Address - Street 2:
Practice Address - City:FORT MCDOWELL
Practice Address - State:AZ
Practice Address - Zip Code:85264
Practice Address - Country:US
Practice Address - Phone:480-789-7890
Practice Address - Fax:480-837-1270
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN091753163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse