| Doctor Name: | PAULETTE L BECKER |
| NPI Number: | 1174724777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | NP0871055 |
| Business Practice Address: | 7790 Dayton Springfield Rd Suite B Fairborn, OH - 453241957 |
| Business Phone Number: | 9378647363 |
| Business Fax Number: | 9378645895 |
| Mailing Address: | Po Box 339, ENON |
| State: | OH |
| Postal Code: | 453230339 |
| Phone Number: | 9378647363 |
| Fax Number: | 9378645895 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP0871055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |