| Doctor Name: | NANCY JO BECKER |
| NPI Number: | 1396739843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | AB2368555 |
| Business Practice Address: | 13104 S Homestead Ln Olathe, KS - 660619686 |
| Business Phone Number: | 9137060794 |
| Business Fax Number: | 9136619173 |
| Mailing Address: | 13104 S Homestead Ln, OLATHE |
| State: | KS |
| Postal Code: | 66061 |
| Phone Number: | 9137060794 |
| Fax Number: | 9136619173 |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/09/2011 |
| NPI Reactivation Date: | 01/26/2016 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | AB2368555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |