# MRS. SUSAN MARIE POPOLO BECKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760569982
- **Gender:** F
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | NN105310 | NJ | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0203335 | — | NJ |
| 01 | — | 52-2114204-0 | HORIZON BCBS OF NJ | — |
| 01 | — | 522114204001 | TRICARE | — |
| 01 | — | 83-14608 | EVERCARE | — |