Provider Demographics
NPI:1851133466
Name:BECK, KATE MARIE (CNA)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:MARIE
Last Name:BECK
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 31ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-0603
Mailing Address - Country:US
Mailing Address - Phone:406-366-3324
Mailing Address - Fax:
Practice Address - Street 1:800 31ST AVE NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-0603
Practice Address - Country:US
Practice Address - Phone:406-366-3324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT142827376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide