Provider Demographics
NPI:1053589994
Name:BESKE, SCOTT (CCRN)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:BESKE
Suffix:
Gender:M
Credentials:CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 WOODCASTLE CT
Mailing Address - Street 2:ADVANCED PICC SERVICES, PLLC
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-3200
Mailing Address - Country:US
Mailing Address - Phone:817-371-7422
Mailing Address - Fax:817-457-6772
Practice Address - Street 1:4105 WOODCASTLE CT
Practice Address - Street 2:ADVANCED PICC SERVICES, PLLC
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-3200
Practice Address - Country:US
Practice Address - Phone:817-371-7422
Practice Address - Fax:817-457-6772
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606005163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse