| Doctor Name: | REBECCA RAE BECKER |
| NPI Number: | 1992956817 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 4704222595 |
| Business Practice Address: | 220 Burdette St Saint Ignace, MI - 497811712 |
| Business Phone Number: | 2318180430 |
| Business Fax Number: | 9066436188 |
| Mailing Address: | 220 Burdette St, SAINT IGNACE |
| State: | MI |
| Postal Code: | 497811712 |
| Phone Number: | 2318180430 |
| Fax Number: | 9066436188 |
| NPI Enumeration Date: | 10/09/2008 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 4704222595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |