Provider Demographics
NPI:1730070434
Name:BECK, NICOLE MARIE (LPN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:BECK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:319 S 17TH ST STE 730
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1992
Mailing Address - Country:US
Mailing Address - Phone:855-493-1831
Mailing Address - Fax:
Practice Address - Street 1:319 S 17TH ST STE 730
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1992
Practice Address - Country:US
Practice Address - Phone:855-493-1831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14745164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse