# DAFRANER ENTERPRISES PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David A Becker Sole MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275049660
- **Authorized official:** DAVID BECKER APRN, PMHNP (OWNER)
- **Authorized official phone:** (616) 818-5494

## Contact information

- **Practice address:** 1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
- **Practice address phone:** (616) 957-9112
- **Practice address fax:** (616) 957-2409
- **Mailing address:** 134 PROSPECT AVE NE, GRAND RAPIDS, MI 49503-3321
- **Mailing address phone:** (616) 818-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 12/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4704269668 | STATE NURSE PRACTITIONER LICENSE | MI |