Basic Information
| Provider Information | |||||||||
| NPI: | 1891915153 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BECK-SIEG | ||||||||
| FirstName: | JUDY | ||||||||
| MiddleName: | HENSLEY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | ANRN, BC (NP) | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2349 BRANDT VLG | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274552169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362860976 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | REGIONAL CANCER CENTER | ||||||||
| Address2: | 501 NORTH ELAM AVE | ||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274031199 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368321100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 045101 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.