Doctor Name: | AMBER M BECKER |
NPI Number: | 1336387612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-CNP |
License Number: | 73397 |
Business Practice Address: | 1200 E Pecan St Altus, OK - 735216141 |
Business Phone Number: | 5803795000 |
Business Fax Number: | 5803795509 |
Mailing Address: | 101 S Park Ln, ALTUS |
State: | OK |
Postal Code: | 735215731 |
Phone Number: | 5803796140 |
Fax Number: | 5803796149 |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 73397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |