Doctor Name: | REBECCA DECKER |
NPI Number: | 1043629405 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC |
License Number: | 80497 |
Business Practice Address: | 9897 S Brandley Rd El Reno, OK - 730369707 |
Business Phone Number: | 4052138353 |
Business Fax Number: | |
Mailing Address: | 9897 S Brandley Rd, EL RENO |
State: | OK |
Postal Code: | 730369707 |
Phone Number: | 4052138353 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2014 |
NPI Last Update Date: | 08/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 80497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |